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1205669967
IDORENYIN NSENTIP
ATLANTA, GA
NPI
1205669967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC015017)
Enumeration Date
2024-08-20
Last Update Date
2024-08-20
Business Address
IDORENYIN NSENTIP LPC
690 COURTENAY DR NE
ATLANTA, GA 30306-3421
Phone number: 404-375-8373
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Mailing Address
IDORENYIN NSENTIP LPC
1017 LANDING PT
STOCKBRIDGE, GA 30281-9066
Phone number: 678-522-1569
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