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1083819395
MELODIE ANNE (OR DESANTO) HEAD
LILBURN, GA
NPI
1083819395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
Ms. MELODIE ANNE (OR DESANTO) HEAD
733 VILLAGE CREEK DR SW
LILBURN, GA 30047-4160
Phone number: 770-381-1273
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Mailing Address
Ms. MELODIE ANNE (OR DESANTO) HEAD
733 VILLAGE CREEK DR SW
LILBURN, GA 30047-4160
Phone number: 770-381-1273
Copy
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