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1720141765
ANGIE VILLANUEVA
CONYERS, GA
NPI
1720141765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
-- ANGIE VILLANUEVA
977 TAYLOR ST SW # A
CONYERS, GA 30012-5357
Phone number: 770-785-5910
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Mailing Address
-- ANGIE VILLANUEVA
3045 GRANITE DR NE
CONYERS, GA 30012-2855
Phone number:
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