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1548700297
AMANDA EAGLES
LAWRENCEVILLE, GA
NPI
1548700297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC005221)
Enumeration Date
2017-02-28
Last Update Date
2017-02-28
Business Address
-- AMANDA EAGLES
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
-- AMANDA EAGLES
1484 LUKE LN
LAWRENCEVILLE, GA 30043-5134
Phone number: 770-301-3435
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