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1477768604
ILENE BABS FEDERMAN
WOODSTOCK, GA
NPI
1477768604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW001454)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
Miss ILENE BABS FEDERMAN mssw
242 CREEKSTONE RDG
WOODSTOCK, GA 30188-3732
Phone number: 678-445-4184
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Mailing Address
Miss ILENE BABS FEDERMAN mssw
7402 SAINT CHARLES SQ
ROSWELL, GA 30075-3873
Phone number: 770-552-4018
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