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1588914477
KENYA CHANTE HARDISON
LAWRENCEVILLE, GA
NPI
1588914477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-09-18
Last Update Date
2012-09-18
Business Address
-- KENYA CHANTE HARDISON
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 770-339-2395
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Mailing Address
-- KENYA CHANTE HARDISON
845 CRABTREE CT
JONESBORO, GA 30238-8530
Phone number: 678-491-6818
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