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1184763286
LORITA B WHITAKER
MARIETTA, GA
NPI
1184763286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA 001106)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
-- LORITA B WHITAKER LCSW
77 COLE ST NE
MARIETTA, GA 30060-2030
Phone number: 770-426-6460
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Mailing Address
-- LORITA B WHITAKER LCSW
PO BOX 3175
MARIETTA, GA 30061-3175
Phone number: 770-426-6460
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