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1528588571
EBONY ELBERT
KENNESAW, GA
NPI
1528588571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: GA 64872)
Enumeration Date
2017-06-21
Last Update Date
2017-06-21
Business Address
EBONY ELBERT CTRS
1291 STANLEY RD NW
KENNESAW, GA 30152-4359
Phone number: 770-427-0147
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Mailing Address
EBONY ELBERT CTRS
1291 STANLEY RD NW
KENNESAW, GA 30152-4359
Phone number: 770-427-0147
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