FARISAI DIX-BROUGHTON

SCOTTDALE, GA
NPI1780464867
Professional NameFARISAI BROUGHTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  APC008628)
Enumeration Date2023-10-04
Last Update Date2023-10-04
Business Address
FARISAI DIX-BROUGHTON
610 KENTUCKY ST
SCOTTDALE, GA 30079-1124
Phone number: 770-988-7470
Mailing Address
FARISAI DIX-BROUGHTON
610 KENTUCKY ST
SCOTTDALE, GA 30079-1124
Phone number: 770-988-7470
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