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1114061702
SANDRA JOAN MOSS
CLAYTON, GA
NPI
1114061702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW002479)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
-- SANDRA JOAN MOSS LCSW
44 COTTONWOOD LANE
CLAYTON, GA 30525
Phone number: 706-782-0717
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Mailing Address
-- SANDRA JOAN MOSS LCSW
44 COTTONWOOD LANE
CLAYTON, GA 30525
Phone number: 706-782-0717
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