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1700392107
IVELISE DE LA ROSA
SANDY SPRINGS, GA
NPI
1700392107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-20
Last Update Date
2017-12-20
Business Address
IVELISE DE LA ROSA MS
270 CARPENTER DR
SANDY SPRINGS, GA 30328-4931
Phone number: 678-460-0345
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Mailing Address
IVELISE DE LA ROSA MS
270 CARPENTER DR
SANDY SPRINGS, GA 30328-4931
Phone number:
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