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1114429412
REVERE COUNSELING AND CARE MANAGEMENT LLC
DECATUR, GA
NPI
1114429412
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Entity Type
Organization
Authorized Contact
STEPHANIE LYNN ROACH
Owner
404-736-3793
Organization Subpart ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: GA CSW002619)
Enumeration Date
2018-03-02
Last Update Date
2022-07-19
Business Address
REVERE COUNSELING AND CARE MANAGEMENT LLC
235 E PONCE DE LEON AVE STE 330
DECATUR, GA 30030-3452
Phone number: 404-281-5422
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Mailing Address
REVERE COUNSELING AND CARE MANAGEMENT LLC
235 E PONCE DE LEON AVE STE 330
DECATUR, GA 30030-3452
Phone number: 404-281-5422
Copy
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