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1407136146
FANIKE-KIARA OLUGBALA YOUNG
ATLANTA, GA
NPI
1407136146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004694)
Enumeration Date
2011-08-25
Last Update Date
2024-01-22
Business Address
FANIKE-KIARA OLUGBALA YOUNG LCSW
157 FORSYTH ST SW
ATLANTA, GA 30303-3634
Phone number: 770-502-5593
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Mailing Address
FANIKE-KIARA OLUGBALA YOUNG LCSW
2283 NOTTLEY WALK
MARIETTA, GA 30066-8610
Phone number: 770-502-5593
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