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1306370887
SHAWNA-GAYE FAGON
ATLANTA, GA
NPI
1306370887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
(Licence: GA LPC009436)
Enumeration Date
2017-04-12
Last Update Date
2017-04-12
Business Address
Miss SHAWNA-GAYE FAGON LPC, NCC
270 CARPENTER DR SUITE 400
ATLANTA, GA 30328-4931
Phone number: 678-460-0345
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Mailing Address
Miss SHAWNA-GAYE FAGON LPC, NCC
119 SHADOWHILL LN
LOGANVILLE, GA 30052-8289
Phone number: 404-825-9705
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