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1427741719
AMANDA FAIRBANKS
MARIETTA, GA
NPI
1427741719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-06-01
Last Update Date
2023-06-01
Business Address
AMANDA FAIRBANKS
2655 DALLAS HWY SW STE 240
MARIETTA, GA 30064-2597
Phone number: 404-530-9934
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Mailing Address
AMANDA FAIRBANKS
2590 CHURCH ST NW
ATLANTA, GA 30318-1829
Phone number:
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