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1003521725
SHAWNNETTA N GREEN
DOUGLASVILLE, GA
NPI
1003521725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC008679)
Enumeration Date
2023-01-17
Last Update Date
2023-01-17
Business Address
SHAWNNETTA N GREEN LAPC
3464 FAIRBURN RD BLDG 4
DOUGLASVILLE, GA 30135-2926
Phone number: 678-379-3055
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Mailing Address
SHAWNNETTA N GREEN LAPC
85 LAKERIDGE DR
TEMPLE, GA 30179-4301
Phone number: 678-379-3055
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