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1699483222
CHAMPAGNAE SMITH
DALLAS, GA
NPI
1699483222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-11-14
Last Update Date
2022-11-14
Business Address
CHAMPAGNAE SMITH
110 EVANS MILL DR
DALLAS, GA 30157-1622
Phone number: 215-475-1327
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Mailing Address
CHAMPAGNAE SMITH
8802 VALENCIA ROSE
DOUGLASVILLE, GA 30134-1675
Phone number: 215-475-1327
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