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1578595054
MAGDA TEVDORADZE
DECATUR, GA
NPI
1578595054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 004025)
Enumeration Date
2006-07-07
Last Update Date
2009-08-08
Business Address
-- MAGDA TEVDORADZE LPC
544 MEDLOCK RD
DECATUR, GA 30030-1515
Phone number: 678-641-0405
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Mailing Address
-- MAGDA TEVDORADZE LPC
544 MEDLOCK RD SUITE 112
DECATUR, GA 30030-1515
Phone number: 678-641-0405
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