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1285246009
NICKESHA MELISA DOUGLAS
ATLANTA, GA
NPI
1285246009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
NICKESHA MELISA DOUGLAS MS
1976 FLAT SHOALS RD SE STE A
ATLANTA, GA 30316-2857
Phone number: 678-856-0471
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Mailing Address
NICKESHA MELISA DOUGLAS MS
2121 WINDY HILL RD APT 712
MARIETTA, GA 30060-6451
Phone number:
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