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1750986170
TASHA L. FORTENBERRY
LAWRENCEVILLE, GA
NPI
1750986170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW008661)
Enumeration Date
2020-12-02
Last Update Date
2024-02-22
Business Address
TASHA L. FORTENBERRY LCSW
1828 SUMMER RIDGE LN
LAWRENCEVILLE, GA 30044-3956
Phone number: 470-231-8081
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Mailing Address
TASHA L. FORTENBERRY LCSW
1201 W PEACHTREE ST NW STE 2625
ATLANTA, GA 30309-3499
Phone number: 470-231-8081
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