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1730428236
AVIS CLEMONS
STONE MOUNTAIN, GA
NPI
1730428236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-02-05
Last Update Date
2013-02-05
Business Address
Mrs. AVIS CLEMONS
5300 MEMORIAL DR SUITE 224A
STONE MOUNTAIN, GA 30083-3148
Phone number: 678-497-5975
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Mailing Address
Mrs. AVIS CLEMONS
5720 WYNDEMERE LN
STONE MOUNTAIN, GA 30087-2525
Phone number: 678-497-5975
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