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1760016984
SAMIRA BLAND
STOCKBRIDGE, GA
NPI
1760016984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: GA LPC014952)
Enumeration Date
2020-02-26
Last Update Date
2024-09-17
Business Address
SAMIRA BLAND LPC
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281-7349
Phone number: 770-389-8100
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Mailing Address
SAMIRA BLAND LPC
315 W PONCE DE LEON AVE STE 300
DECATUR, GA 30030-2481
Phone number: 770-609-6976
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