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1508532177
SAMANTHA MALCOLM
ATLANTA, GA
NPI
1508532177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
251S00000X
Enumeration Date
2021-08-23
Last Update Date
2021-08-23
Business Address
SAMANTHA MALCOLM
1030 FAYETTEVILLE RD SE
ATLANTA, GA 30316-2921
Phone number: 404-486-9034
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Mailing Address
SAMANTHA MALCOLM
623 DELMAR AVE SE UNIT B
ATLANTA, GA 30312-3643
Phone number: 912-312-0704
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