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1043559024
TRACIE FANIEL
COLUMBUS, GA
NPI
1043559024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2013-02-11
Last Update Date
2013-02-11
Business Address
-- TRACIE FANIEL
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-323-0174
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Mailing Address
-- TRACIE FANIEL
868 ARLINGTON DR
COLUMBUS, GA 31907-7304
Phone number: 706-573-0046
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