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1700555836
GEORGIA FAYE KOUSHIAFES
BLOOMINGTON, IN
NPI
1700555836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34003881A)
Enumeration Date
2021-09-11
Last Update Date
2021-09-11
Business Address
Ms. GEORGIA FAYE KOUSHIAFES MSW LCSW
604 W DODDS ST
BLOOMINGTON, IN 47403-4773
Phone number: 812-360-2869
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Mailing Address
Ms. GEORGIA FAYE KOUSHIAFES MSW LCSW
604 W DODDS ST
BLOOMINGTON, IN 47403-4773
Phone number: 812-360-2869
Copy
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