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1700545605
SHALISA PETERSON
CONYERS, GA
NPI
1700545605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-12-08
Last Update Date
2021-12-08
Business Address
SHALISA PETERSON
2215 EXCHANGE PL SE
CONYERS, GA 30013-6723
Phone number: 770-679-0586
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Mailing Address
SHALISA PETERSON
4790 KENSINGTON LN SE
CONYERS, GA 30094-4346
Phone number:
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