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1295063451
CELISA A DANIELS
FORT MOORE, GA
NPI
1295063451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801103713)
Enumeration Date
2009-11-30
Last Update Date
2024-08-07
Business Address
CELISA A DANIELS LCSW, CAADC
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-4104
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Mailing Address
CELISA A DANIELS LCSW, CAADC
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-4104
Copy
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