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1356403497
MONIQUE A DAVIS
MARIETTA, GA
NPI
1356403497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: GA 002705)
Enumeration Date
2006-12-14
Last Update Date
2007-07-09
Business Address
MONIQUE A DAVIS LMSW
1363 RED HILL RD
MARIETTA, GA 30008-5300
Phone number: 404-217-1980
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Mailing Address
MONIQUE A DAVIS LMSW
1363 RED HILL RD
MARIETTA, GA 30008-5300
Phone number: 404-217-1980
Copy
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