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1023383361
CARLA NELSON
WOODSTOCK, GA
NPI
1023383361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2012-03-20
Last Update Date
2012-03-20
Business Address
CARLA NELSON M.A.
9876 MAIN ST SUITE 100
WOODSTOCK, GA 30188-3970
Phone number: 770-516-1050
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Mailing Address
CARLA NELSON M.A.
100 WILLOW CREEK LN APT 103
WOODSTOCK, GA 30188-7378
Phone number:
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