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1366036212
SHANNON KELLEY FRASER
DECATUR, GA
NPI
1366036212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-02-22
Last Update Date
2021-02-22
Business Address
SHANNON KELLEY FRASER
1799 CLAIRMONT RD
DECATUR, GA 30033-4005
Phone number: 404-491-7751
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Mailing Address
SHANNON KELLEY FRASER
833 CINDERELLA CT
DECATUR, GA 30033-5811
Phone number: 630-740-4034
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