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1295397529
SUSAN MARTIN
ROSWELL, GA
NPI
1295397529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 0002793)
Enumeration Date
2019-07-08
Last Update Date
2019-07-08
Business Address
SUSAN MARTIN
245 FARM TRAK
ROSWELL, GA 30075-4218
Phone number: 770-992-5955
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Mailing Address
SUSAN MARTIN
245 FARM TRAK
ROSWELL, GA 30075-4218
Phone number: 770-992-5955
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