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1093368763
TRACEY MICHELLE JORDAN-RICHARDSON
AUGUSTA, GA
NPI
1093368763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-07-22
Last Update Date
2019-07-22
Business Address
TRACEY MICHELLE JORDAN-RICHARDSON
2357 TOBACCO RD
AUGUSTA, GA 30906-9220
Phone number: 706-722-3855
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Mailing Address
TRACEY MICHELLE JORDAN-RICHARDSON
2357 TOBACCO RD
AUGUSTA, GA 30906-9220
Phone number: 706-722-3855
Copy
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