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1184247447
ALISSA DEAN BOTTOMS
AUGUSTA, GA
NPI
1184247447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NC A14397)
Enumeration Date
2020-05-21
Last Update Date
2020-05-21
Business Address
ALISSA DEAN BOTTOMS
4145 COLUMBIA RD
AUGUSTA, GA 30907-5400
Phone number: 706-869-7373
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Mailing Address
ALISSA DEAN BOTTOMS
4145 COLUMBIA RD
AUGUSTA, GA 30907-5400
Phone number: 706-869-7373
Copy
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