PHARA JEROME

LAWRENCEVILLE, GA
NPI1770967127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  006903)
Enumeration Date2015-07-15
Last Update Date2015-07-15
Business Address
-- PHARA JEROME
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
Mailing Address
-- PHARA JEROME
4140 WHITFIELD OAK WAY
AUBURN, GA 30011-4219
Phone number: 201-790-5315
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