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1033755137
EXTRIARA CHARLESH GATES
ATLANTA, GA
NPI
1033755137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW006847)
Enumeration Date
2019-11-23
Last Update Date
2019-11-23
Business Address
EXTRIARA CHARLESH GATES LCSW
3755 REDWINE RD APT 2216
ATLANTA, GA 30344-5932
Phone number: 404-667-6791
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Mailing Address
EXTRIARA CHARLESH GATES LCSW
3755 REDWINE RD APT 2216
ATLANTA, GA 30344-5932
Phone number: 404-667-6791
Copy
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