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1114550282
WINTER CHARNAE FODDRELL
DECATUR, GA
NPI
1114550282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC011302)
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
WINTER CHARNAE FODDRELL MA, LPC, NCC
1244 CLAIRMONT RD STE 204
DECATUR, GA 30030-1263
Phone number: 470-205-0355
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Mailing Address
WINTER CHARNAE FODDRELL MA, LPC, NCC
423 ROCK MEADOW DR
STONE MOUNTAIN, GA 30088-1507
Phone number: 336-280-5964
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