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1225766454
ELYSSA BAIRSTOW
DECATUR, GA
NPI
1225766454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-08-15
Last Update Date
2022-08-15
Business Address
ELYSSA BAIRSTOW MSW Student
120 E TRINITY PL
DECATUR, GA 30030-3302
Phone number: 415-516-7515
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Mailing Address
ELYSSA BAIRSTOW MSW Student
1661 BREWER BLVD SW
ATLANTA, GA 30310-4623
Phone number: 415-516-7515
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