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1144890203
DEANNA FORT
DECATUR, GA
NPI
1144890203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA MSW008320)
Enumeration Date
2021-06-30
Last Update Date
2021-06-30
Business Address
DEANNA FORT LMSW
165 DEKALB INDUSTRIAL WAY STE D1
DECATUR, GA 30030-2230
Phone number: 404-465-4919
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Mailing Address
DEANNA FORT LMSW
165 DEKALB INDUSTRIAL WAY STE D1
DECATUR, GA 30030-2230
Phone number: 404-465-4919
Copy
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