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1689408031
CREYSTAL DEMI FAGBOHUN
MARIETTA, GA
NPI
1689408031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW007521)
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
CREYSTAL DEMI FAGBOHUN LCSW
3126 RICH RD
MARIETTA, GA 30066-3802
Phone number: 770-903-2150
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Mailing Address
CREYSTAL DEMI FAGBOHUN LCSW
3126 RICH RD
MARIETTA, GA 30066-3802
Phone number: 770-903-2150
Copy
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