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1497907174
CLAUDETTE M IDIGO
FAYETTEVILLE, GA
NPI
1497907174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004018)
Enumeration Date
2008-10-14
Last Update Date
2017-10-13
Business Address
Ms. CLAUDETTE M IDIGO LCSW
101 SAN MARINO CT
FAYETTEVILLE, GA 30214-1435
Phone number: 678-723-4448
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Mailing Address
Ms. CLAUDETTE M IDIGO LCSW
101 SAN MARINO CT
FAYETTEVILLE, GA 30214-1435
Phone number: 678-428-1728
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