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1194485011
KAYLA FARABAUGH
CANTON, GA
NPI
1194485011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW007846)
Enumeration Date
2021-12-20
Last Update Date
2021-12-20
Business Address
KAYLA FARABAUGH LCSW
2920 MARIETTA HWY
CANTON, GA 30114-8212
Phone number: 770-345-7149
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Mailing Address
KAYLA FARABAUGH LCSW
PO BOX 1545
CANTON, GA 30169-1545
Phone number: 770-345-7149
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