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1164252821
MALINDA BLACK BARNES
STOCKBRIDGE, GA
NPI
1164252821
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Former Name
MALINDA GAIL BLACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2024-08-06
Last Update Date
2024-08-06
Business Address
MALINDA BLACK BARNES CADC-T
1233 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281-6399
Phone number: 404-834-3747
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Mailing Address
MALINDA BLACK BARNES CADC-T
537 CRIMSON RIDGE DR
JONESBORO, GA 30238-5206
Phone number: 404-834-3747
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