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1194141796
TINITA SIMMONDS
STONE MOUNTAIN, GA
NPI
1194141796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC007601)
Enumeration Date
2014-03-07
Last Update Date
2016-04-04
Business Address
-- TINITA SIMMONDS
5405 MEMORIAL DR BLDG C
STONE MOUNTAIN, GA 30083-3234
Phone number: 678-999-2611
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Mailing Address
-- TINITA SIMMONDS
PO BOX 165
REDAN, GA 30074-0165
Phone number:
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