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1013110501
SANDRA RENEE KOOTSIKAS
ATLANTA, GA
NPI
1013110501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: GA LPC002570)
Enumeration Date
2007-06-11
Last Update Date
2007-07-08
Business Address
SANDRA RENEE KOOTSIKAS LPC
1105 W PEACHTREE ST NW
ATLANTA, GA 30309-3608
Phone number: 678-472-1820
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Mailing Address
SANDRA RENEE KOOTSIKAS LPC
1233 WOODLAND AVE NE UNIT 2
ATLANTA, GA 30324-4542
Phone number: 678-472-1820
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