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1376168302
SHAHAGONY BANKS
DOUGLASVILLE, GA
NPI
1376168302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-06-16
Last Update Date
2020-06-16
Business Address
SHAHAGONY BANKS CIT
2109 FAIRBURN RD STE A
DOUGLASVILLE, GA 30135-1037
Phone number: 770-726-7958
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Mailing Address
SHAHAGONY BANKS CIT
708 SABLE CHASE BLVD
MCDONOUGH, GA 30253-3463
Phone number: 770-412-2532
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