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1497170716
TERRA HUMPHREY
CONYERS, GA
NPI
1497170716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-02-24
Last Update Date
2014-02-24
Business Address
-- TERRA HUMPHREY CACII
1990 OLD PARKER RD SE SUITE 100
CONYERS, GA 30094-6239
Phone number: 678-374-2959
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Mailing Address
-- TERRA HUMPHREY CACII
1990 OLD PARKER RD SE SUITE 100
CONYERS, GA 30094-6239
Phone number: 678-374-2959
Copy
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