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1689921637
AMBER ROSE MIRACLE
FORT STEWART, GA
NPI
1689921637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: DE Q1-0001151)
Enumeration Date
2012-08-09
Last Update Date
2012-09-21
Business Address
Mrs. AMBER ROSE MIRACLE LCSW
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-6633
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Mailing Address
Mrs. AMBER ROSE MIRACLE LCSW
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-6633
Copy
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