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1699019612
SHACASEY RIVERS
LAWRENCEVILLE, GA
NPI
1699019612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
Miss SHACASEY RIVERS
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 770-339-2395
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Mailing Address
Miss SHACASEY RIVERS
1985 OLD CONCORD DR SE
COVINGTON, GA 30016-1731
Phone number: 770-728-9173
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