SHANEQUA MUSSA

LAGRANGE, GA
NPI1699522037
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA  1131)
Enumeration Date2024-05-03
Last Update Date2024-05-03
Business Address
SHANEQUA MUSSA CADC11
229 S DAVIS RD
LAGRANGE, GA 30241-2608
Phone number: 800-805-6989
Mailing Address
SHANEQUA MUSSA CADC11
6872 OMAHA DR.
MIDLAND, GA 31820
Phone number: 706-304-9675
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