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1376301572
CARSON SHOCK
CUMMING, GA
NPI
1376301572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC009560)
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
CARSON SHOCK
327 DAHLONEGA ST STE B1902
CUMMING, GA 30040-8216
Phone number: 678-371-7357
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Mailing Address
CARSON SHOCK
327 DAHLONEGA ST STE B1902
CUMMING, GA 30040-8216
Phone number: 678-371-7357
Copy
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