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1699497784
TIFFANY SHULONDA MITCHELL
DALLAS, GA
NPI
1699497784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA 1299)
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
TIFFANY SHULONDA MITCHELL CADCII, ICADC
311 WHITE INGRAM PKWY STE 500
DALLAS, GA 30132-0972
Phone number: 678-363-7447
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Mailing Address
TIFFANY SHULONDA MITCHELL CADCII, ICADC
250 GEORGIA AVE E UNIT 142504
FAYETTEVILLE, GA 30214-5529
Phone number: 678-949-0763
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