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1003296062
SHAINA GORDON
DECATUR, GA
NPI
1003296062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA CSW005234)
Enumeration Date
2015-06-04
Last Update Date
2017-02-18
Business Address
-- SHAINA GORDON
465 WINN WAY 221
DECATUR, GA 30030-1753
Phone number: 404-292-3810
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Mailing Address
-- SHAINA GORDON
980 SAINT CHARLES AVE NE #3
ATLANTA, GA 30306-4263
Phone number: 954-895-1453
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