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1104222454
MELISSA PATRICK
COVINGTON, GA
NPI
1104222454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW005294)
Enumeration Date
2014-11-14
Last Update Date
2016-03-01
Business Address
-- MELISSA PATRICK
5108 NEWTON DR NE
COVINGTON, GA 30014-2678
Phone number: 678-712-6898
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Mailing Address
-- MELISSA PATRICK
2544 HIGHWAY 212
COVINGTON, GA 30016-6071
Phone number: 678-712-6898
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