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1437504966
VICTORIA FOUNTAIN
POWDER SPRINGS, GA
NPI
1437504966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA CSW005684)
Enumeration Date
2016-05-03
Last Update Date
2016-05-03
Business Address
MISS VICTORIA FOUNTAIN
47 LAKELAND CT
POWDER SPRINGS, GA 30127-8774
Phone number: 678-717-7952
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Mailing Address
MISS VICTORIA FOUNTAIN
47 LAKELAND CT
POWDER SPRINGS, GA 30127-8774
Phone number: 678-717-7952
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