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1386363026
AMANDA GAIL SMITH
CANTON, GA
NPI
1386363026
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Former Name
AMANDA MCGAHA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: GA 3610-R)
Enumeration Date
2022-08-25
Last Update Date
2023-10-03
Business Address
AMANDA GAIL SMITH CAC II
230 RIVERSTONE PKWY STE C
CANTON, GA 30114-6414
Phone number: 470-221-2256
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Mailing Address
AMANDA GAIL SMITH CAC II
465 SUMMIT ST
BLUE RIDGE, GA 30513-8580
Phone number: 706-455-0090
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