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1598524613
VALERIE SPAIN DANIEL
LAWRENCEVILLE, GA
NPI
1598524613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC013189)
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
VALERIE SPAIN DANIEL LPC013189
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
VALERIE SPAIN DANIEL LPC013189
1268 SPARKLING COVE DR
BUFORD, GA 30518-7216
Phone number: 470-302-9038
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