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1114561149
TA'SHAY SHANEE PORTER
LAWRENCEVILLE, GA
NPI
1114561149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2019-11-02
Last Update Date
2024-01-02
Business Address
TA'SHAY SHANEE PORTER ACSW
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
TA'SHAY SHANEE PORTER ACSW
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
Copy
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