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1043674443
MARY AGNES DALLAS
ATLANTA, GA
NPI
1043674443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-04-12
Last Update Date
2016-04-12
Business Address
-- MARY AGNES DALLAS
2302 PARKLAKE DR NE SUITE 350
ATLANTA, GA 30345-2896
Phone number: 770-621-0469
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Mailing Address
-- MARY AGNES DALLAS
2302 PARKLAKE DR NE SUITE 350
ATLANTA, GA 30345-2896
Phone number: 770-621-0469
Copy
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