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1215395454
GLENNYS SORAYA FEBLES
DALTON, GA
NPI
1215395454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA 84567)
Enumeration Date
2016-02-02
Last Update Date
2016-02-02
Business Address
-- GLENNYS SORAYA FEBLES ICADC-II
900 SHUGART RD
DALTON, GA 30720-2467
Phone number: 800-715-4225
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Mailing Address
-- GLENNYS SORAYA FEBLES ICADC-II
157 FOLSOM RD SE
FAIRMOUNT, GA 30139-2614
Phone number:
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