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1184194995
REBECCA MARA STAPEL-WAX
DECATUR, GA
NPI
1184194995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-12-05
Last Update Date
2018-12-05
Business Address
REBECCA MARA STAPEL-WAX MA
523 CHURCH ST
DECATUR, GA 30030-2515
Phone number: 404-589-9040
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Mailing Address
REBECCA MARA STAPEL-WAX MA
3848 ADMIRAL DR
ATLANTA, GA 30341-1919
Phone number: 404-275-4637
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