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1013311968
MICHELLE HENRY
VALDOSTA, GA
NPI
1013311968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-10-20
Last Update Date
2014-10-20
Business Address
-- MICHELLE HENRY
1708 CHARLTON ST
VALDOSTA, GA 31602-3101
Phone number: 229-242-6292
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Mailing Address
-- MICHELLE HENRY
1708 CHARLTON ST
VALDOSTA, GA 31602-3101
Phone number:
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