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1326281544
RAE SANSOM COLEY
FAYETTEVILLE, GA
NPI
1326281544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004106)
Enumeration Date
2009-04-17
Last Update Date
2017-06-02
Business Address
Ms. RAE SANSOM COLEY LCSW
370 LANIER AVE E
FAYETTEVILLE, GA 30214-2237
Phone number: 678-884-4011
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Mailing Address
Ms. RAE SANSOM COLEY LCSW
370 LANIER AVE E
FAYETTEVILLE, GA 30214-2237
Phone number: 678-884-4011
Copy
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