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1619242856
MARYUM HASAN
JONESBORO, GA
NPI
1619242856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-03-21
Last Update Date
2012-03-21
Business Address
-- MARYUM HASAN CCAADC
122 CLAXTON CT
JONESBORO, GA 30238-7028
Phone number: 404-388-6114
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Mailing Address
-- MARYUM HASAN CCAADC
122 CLAXTON CT
JONESBORO, GA 30238-7028
Phone number: 404-388-6114
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