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1396569687
CHYAN A. BLACK
DACULA, GA
NPI
1396569687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA PCET004159)
Enumeration Date
2024-11-13
Last Update Date
2024-11-13
Business Address
CHYAN A. BLACK
3615 BRASELTON HWY STE 103
DACULA, GA 30019-5907
Phone number: 678-377-9634
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Mailing Address
CHYAN A. BLACK
3615 BRASELTON HWY STE 103
DACULA, GA 30019-5907
Phone number: 678-377-9634
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