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1548822398
DEAETTA GRINNAGE
LOGANVILLE, GA
NPI
1548822398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC013200)
Enumeration Date
2019-07-02
Last Update Date
2023-01-06
Business Address
DEAETTA GRINNAGE LPC
299 COOPER RD STE B
LOGANVILLE, GA 30052-2579
Phone number: 770-217-4336
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Mailing Address
DEAETTA GRINNAGE LPC
3711 WYNSHIP CT
SNELLVILLE, GA 30039-6799
Phone number: 302-423-5754
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