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1154090355
ELLEN FAITH CRISWELL
FORSYTH, GA
NPI
1154090355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2021-09-10
Last Update Date
2021-09-10
Business Address
ELLEN FAITH CRISWELL
109 MARTIN LUTHER KING JR DR
FORSYTH, GA 31029-1689
Phone number: 478-787-5790
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Mailing Address
ELLEN FAITH CRISWELL
477 SUNSET TER
FORSYTH, GA 31029-1678
Phone number: 478-787-5790
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