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1336617786
CASEY MINTZ BEISE
TUCKER, GA
NPI
1336617786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW006556)
Enumeration Date
2018-11-04
Last Update Date
2018-11-04
Business Address
Mrs. CASEY MINTZ BEISE LCSW
1479 BROCKETT RD STE 100
TUCKER, GA 30084-7326
Phone number: 770-375-8124
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Mailing Address
Mrs. CASEY MINTZ BEISE LCSW
1479 BROCKETT RD STE 100
TUCKER, GA 30084-7326
Phone number: 770-375-8124
Copy
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