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1003176363
SHONDA P DALLAS
FAIRBURN, GA
NPI
1003176363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 006206)
Enumeration Date
2012-05-21
Last Update Date
2020-08-08
Business Address
SHONDA P DALLAS LPC
324 BREEZE MDW
FAIRBURN, GA 30213-6054
Phone number: 770-597-9746
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Mailing Address
SHONDA P DALLAS LPC
324 BREEZE MDW
FAIRBURN, GA 30213-6054
Phone number: 770-597-9746
Copy
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