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1568901189
DORETHA PRIDE
FORT VALLEY, GA
NPI
1568901189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-02-15
Last Update Date
2017-02-15
Business Address
-- DORETHA PRIDE
108 MIMOSA DR
FORT VALLEY, GA 31030-3717
Phone number: 478-825-9045
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Mailing Address
-- DORETHA PRIDE
108 MIMOSA DR
FORT VALLEY, GA 31030-3717
Phone number:
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