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1184206609
RACQUEL T ORTIZ
SUGAR HILL, GA
NPI
1184206609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TP2701X Psychologist, Group Psychotherapy
Enumeration Date
2021-04-23
Last Update Date
2021-04-23
Business Address
RACQUEL T ORTIZ
5010 W BROAD ST APT 3407
SUGAR HILL, GA 30518-4219
Phone number: 843-929-7805
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Mailing Address
RACQUEL T ORTIZ
5010 W BROAD ST APT 3407
SUGAR HILL, GA 30518-4219
Phone number: 843-929-7805
Copy
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