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1013679562
DELANCEY FORTIN
BUFORD, GA
NPI
1013679562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-10-12
Last Update Date
2021-10-12
Business Address
DELANCEY FORTIN MA
1400 BUFORD HWY STE C1
BUFORD, GA 30518-8722
Phone number: 470-326-5455
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Mailing Address
DELANCEY FORTIN MA
1400 BUFORD HWY STE C1
BUFORD, GA 30518-8722
Phone number: 470-326-5455
Copy
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