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1497431043
SHANA GISSENTANNER CONLEY
DULUTH, GA
NPI
1497431043
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Former Name
SHANA NICOLE GISSENTANNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW009015)
Enumeration Date
2023-06-27
Last Update Date
2024-03-25
Business Address
Mrs. SHANA GISSENTANNER CONLEY LCSW
2760 PEACHTREE INDUSTRIAL BLVD STE C
DULUTH, GA 30097-2201
Phone number: 404-919-0917
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Mailing Address
Mrs. SHANA GISSENTANNER CONLEY LCSW
4150 EDEN VALLEY DR
LOGANVILLE, GA 30052-7551
Phone number: 678-851-9177
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