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1295070779
PORTIA R. DOUGLAS
ALBANY, GA
NPI
1295070779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: GA AB12-000748)
Enumeration Date
2012-12-10
Last Update Date
2012-12-10
Business Address
Mrs. PORTIA R. DOUGLAS
408 HUDSON LN
ALBANY, GA 31705-4018
Phone number: 229-869-5426
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Mailing Address
Mrs. PORTIA R. DOUGLAS
408 HUDSON LN
ALBANY, GA 31705-4018
Phone number: 229-869-5426
Copy
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