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1033949342
EDRA LATRELLE FAUST
DOUGLASVILLE, GA
NPI
1033949342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC008879)
Enumeration Date
2024-08-02
Last Update Date
2024-08-02
Business Address
EDRA LATRELLE FAUST APC
6311 STRICKLAND ST
DOUGLASVILLE, GA 30134-1261
Phone number: 678-838-8333
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Mailing Address
EDRA LATRELLE FAUST APC
6311 STRICKLAND ST
DOUGLASVILLE, GA 30134-1261
Phone number: 678-838-8333
Copy
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