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1023313087
SHANNEN FAYE MALUTINOK
ATHENS, GA
NPI
1023313087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA CSW004118)
Enumeration Date
2011-01-21
Last Update Date
2011-01-21
Business Address
SHANNEN FAYE MALUTINOK LCSW
1 HUNTINGTON RD STE 103
ATHENS, GA 30606-7205
Phone number: 706-850-7041
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Mailing Address
SHANNEN FAYE MALUTINOK LCSW
1 HUNTINGTON RD STE 103
ATHENS, GA 30606-7205
Phone number: 706-850-7041
Copy
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