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1548484132
CLEVEVOYA DALETREASE JORDAN
HIRAM, GA
NPI
1548484132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 0003921)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
Mrs. CLEVEVOYA DALETREASE JORDAN LPC, NCC
127 ENTERPRISE PATH STE 401
HIRAM, GA 30141-2698
Phone number: 770-222-6622
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Mailing Address
Mrs. CLEVEVOYA DALETREASE JORDAN LPC, NCC
2506 GREENVILLE WAY
DECATUR, GA 30034-1861
Phone number: 678-887-6613
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