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1104667583
CARRIE L BLACK
CARTERSVILLE, GA
NPI
1104667583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2024-06-01
Last Update Date
2024-06-01
Business Address
CARRIE L BLACK
200 LEAKE ST STE 106
CARTERSVILLE, GA 30120-3562
Phone number: 678-431-2390
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Mailing Address
CARRIE L BLACK
884 MISSION RD SW
CARTERSVILLE, GA 30120-7411
Phone number: 678-431-2390
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