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1225331150
TARA MICHELE PHILLIPS
FAYETTEVILLE, GA
NPI
1225331150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA CSW003731)
Enumeration Date
2010-12-15
Last Update Date
2010-12-15
Business Address
TARA MICHELE PHILLIPS
3301 COBBLESTONE BLVD
FAYETTEVILLE, GA 30215-7312
Phone number: 770-756-9924
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Mailing Address
TARA MICHELE PHILLIPS
3301 COBBLESTONE BLVD
FAYETTEVILLE, GA 30215-7312
Phone number: 770-756-9924
Copy
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