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1427776723
PENNY SUE HAYNES
CANTON, GA
NPI
1427776723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA 1348)
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
PENNY SUE HAYNES CADC II
347 HOLLY ST
CANTON, GA 30114-9568
Phone number: 678-459-2437
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Mailing Address
PENNY SUE HAYNES CADC II
PO BOX 328
HOLLY SPRINGS, GA 30142-0006
Phone number: 678-459-2437
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