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1205955028
EDNA MAE BETHANCOURT-HARRIS
DECATUR, GA
NPI
1205955028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Mrs. EDNA MAE BETHANCOURT-HARRIS Adiction Therapist
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
Mrs. EDNA MAE BETHANCOURT-HARRIS Adiction Therapist
3100 LAWRENCEVILLE HWY
TUCKER, GA 30084-7127
Phone number: 770-414-8916
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