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1164017455
DESIREE BERNADETTE STEPHENS
ATLANTA, GA
NPI
1164017455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP1600X Counselor Pastoral
Additional Taxonomies
374K00000X Religious Nonmedical Practitioner
Enumeration Date
2021-03-08
Last Update Date
2021-03-08
Business Address
MRS. DESIREE BERNADETTE STEPHENS PASTOR
2427 BAXTER RD SW
ATLANTA, GA 30315-7201
Phone number: 404-438-5101
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Mailing Address
MRS. DESIREE BERNADETTE STEPHENS PASTOR
2427 BAXTER RD SW
ATLANTA, GA 30315-7201
Phone number: 404-438-5101
Copy
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