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1093145666
CEISHA SHADOR PARKS
MCDONOUGH, GA
NPI
1093145666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-11-19
Last Update Date
2013-11-19
Business Address
-- CEISHA SHADOR PARKS
6040 WINSTON TRACE
MCDONOUGH, GA 30252
Phone number: 612-559-8873
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Mailing Address
-- CEISHA SHADOR PARKS
6040 WINSTON TRCE
MCDONOUGH, GA 30252-6896
Phone number: 678-559-8873
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