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1760562706
KIMLEY MAIENZA
ATLANTA, GA
NPI
1760562706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA 000740)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
Mrs. KIMLEY MAIENZA
1827 POWERS FERRY RD SE BLDG 24, SUITE 300
ATLANTA, GA 30339-5621
Phone number: 770-818-0070
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Mailing Address
Mrs. KIMLEY MAIENZA
1080 RIVER PLANTATION DR
WOODSTOCK, GA 30188-2387
Phone number: 678-494-0999
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