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1639638703
TANJA SUPON-CLAUSE
GUYTON, GA
NPI
1639638703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC010837)
Enumeration Date
2019-03-18
Last Update Date
2023-11-17
Business Address
TANJA SUPON-CLAUSE MA LPC
109 COTTON BLUFF CT
GUYTON, GA 31312-7540
Phone number: 912-433-5099
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Mailing Address
TANJA SUPON-CLAUSE MA LPC
109 COTTON BLUFF CT
GUYTON, GA 31312-7540
Phone number: 912-433-5099
Copy
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