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1619290954
KELLY L MENDIOLA
ATHENS, GA
NPI
1619290954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA CSW004270)
Enumeration Date
2010-03-01
Last Update Date
2010-06-03
Business Address
KELLY L MENDIOLA LCSW
523 1/2 PRINCE AVE
ATHENS, GA 30601-2450
Phone number: 706-425-8900
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Mailing Address
KELLY L MENDIOLA LCSW
523 1/2 PRINCE AVE
ATHENS, GA 30601-2450
Phone number: 706-425-8900
Copy
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