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1700234440
GWYNETH JUNE SHANKS
ATHENS, GA
NPI
1700234440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW005658)
Enumeration Date
2016-06-02
Last Update Date
2016-06-02
Business Address
-- GWYNETH JUNE SHANKS LCSW
250 NORTH AVE
ATHENS, GA 30601-2244
Phone number: 706-389-6789
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Mailing Address
-- GWYNETH JUNE SHANKS LCSW
250 NORTH AVE
ATHENS, GA 30601-2244
Phone number: 706-389-6789
Copy
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