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1013055094
M KATHERINE COOLIDGE
CANTON, GA
NPI
1013055094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA CSW001574)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
Ms. M KATHERINE COOLIDGE LCSW
1213 CHERRY LN
CANTON, GA 30114-6812
Phone number: 678-494-6690
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Mailing Address
Ms. M KATHERINE COOLIDGE LCSW
1213 CHERRY LN
CANTON, GA 30114-6812
Phone number: 678-494-6690
Copy
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