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1255942355
SONIA DIANE GLASS
UNION CITY, GA
NPI
1255942355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: GA 3478)
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
SONIA DIANE GLASS
6285 LITTLETON DR
UNION CITY, GA 30291-1071
Phone number: 678-887-0080
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Mailing Address
SONIA DIANE GLASS
6285 LITTLETON DR
UNION CITY, GA 30291-1071
Phone number: 678-887-0080
Copy
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