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1013159151
DIANE CHAMBERS DIERKS
LAWRENCEVILLE, GA
NPI
1013159151
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Former Name
DIANE CHAMBERS SHEARER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA MFT001084)
Enumeration Date
2009-04-06
Last Update Date
2012-02-02
Business Address
Mrs. DIANE CHAMBERS DIERKS MFT
400 W CROGAN ST SUITE D
LAWRENCEVILLE, GA 30046-4736
Phone number: 404-218-1739
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Mailing Address
Mrs. DIANE CHAMBERS DIERKS MFT
PO BOX 1016
LAWRENCEVILLE, GA 30046-1016
Phone number: 404-218-1739
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