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1336612837
STEPHANIE M GREY-GOOSMAN
ATLANTA, GA
NPI
1336612837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC012658)
Enumeration Date
2019-01-07
Last Update Date
2022-04-12
Business Address
STEPHANIE M GREY-GOOSMAN LPC, NCC
659 AUBURN AVE NE APT 228
ATLANTA, GA 30312-1980
Phone number: 678-562-1520
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Mailing Address
STEPHANIE M GREY-GOOSMAN LPC, NCC
745 WILLOWWIND DR
LOGANVILLE, GA 30052-6602
Phone number: 678-643-2486
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