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1104298611
ANGELIE GREENE
DECATUR, GA
NPI
1104298611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: GA LPC008586)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
ANGELIE GREENE
4151 MEMORIAL DR SUITE 112A
DECATUR, GA 30032-1504
Phone number: 404-644-5131
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Mailing Address
ANGELIE GREENE
3961 FLOYD RD #300-201
AUSTELL, GA 30106-8535
Phone number: 404-644-5131
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