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1679603815
TERE TYNER CANZONERI
ATLANTA, GA
NPI
1679603815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA 1202)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
-- TERE TYNER CANZONERI M.Div., MSW, LCSW
1790 LAVISTA RD NE
ATLANTA, GA 30329-3604
Phone number: 404-664-6254
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Mailing Address
-- TERE TYNER CANZONERI M.Div., MSW, LCSW
136 GENEVA ST
DECATUR, GA 30030-1843
Phone number: 404-664-6254
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