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1265155675
SHALA BRANDI HOLMES
LOGANVILLE, GA
NPI
1265155675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
SHALA BRANDI HOLMES
3543 SR-81 UNIT 201
LOGANVILLE, GA 30052
Phone number: 678-737-4147
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Mailing Address
SHALA BRANDI HOLMES
3543 SR-81 UNIT 201
LOGANVILLE, GA 30052
Phone number: 678-737-4147
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