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1497055917
THERESA ELIZABETH SAMUELS
LAWRENCEVILLE, GA
NPI
1497055917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004233)
Enumeration Date
2010-11-01
Last Update Date
2010-11-01
Business Address
Mrs. THERESA ELIZABETH SAMUELS LCSW
175 GWINNETT DR GRN COMMUNITY SERVICE BOARD
LAWRENCEVILLE, GA 30046-8444
Phone number: 770-339-5000
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Mailing Address
Mrs. THERESA ELIZABETH SAMUELS LCSW
617 STONECREST DR
LOGANVILLE, GA 30052-8887
Phone number: 770-554-5833
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