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1457116519
LA'BIANCA QUESHUN CHAMPION
STOCKBRIDGE, GA
NPI
1457116519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2024-02-19
Last Update Date
2024-11-25
Business Address
Dr. LA'BIANCA QUESHUN CHAMPION
106 COBBLESTONE BLVD
STOCKBRIDGE, GA 30281-7304
Phone number: 678-769-8446
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Mailing Address
Dr. LA'BIANCA QUESHUN CHAMPION
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number:
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