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1528693868
ANITA CLAUDETTE DAISE
DECATUR, GA
NPI
1528693868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA 006683)
Enumeration Date
2020-03-06
Last Update Date
2020-03-06
Business Address
ANITA CLAUDETTE DAISE
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
ANITA CLAUDETTE DAISE
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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