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1043942956
MELISSA FAITH ANDERSON CLACKUM
MARIETTA, GA
NPI
1043942956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: GA L-303290)
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
MELISSA FAITH ANDERSON CLACKUM IBCLC
2141 KINGSTON CT SE STE 103
MARIETTA, GA 30067-8928
Phone number: 770-644-0555
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Mailing Address
MELISSA FAITH ANDERSON CLACKUM IBCLC
2141 KINGSTON CT SE STE 103
MARIETTA, GA 30067-8928
Phone number: 770-644-0555
Copy
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