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1265035158
MAGDALENE KIDD VASCONEZ
SAVANNAH, GA
NPI
1265035158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW007219)
Enumeration Date
2020-11-21
Last Update Date
2020-11-21
Business Address
MAGDALENE KIDD VASCONEZ
107 WESTOVER DR
SAVANNAH, GA 31407-3903
Phone number: 912-755-0906
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Mailing Address
MAGDALENE KIDD VASCONEZ
107 WESTOVER DR
SAVANNAH, GA 31407-3903
Phone number: 912-755-0906
Copy
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