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1780880690
ANNALISA DERENTHAL
ROSWELL, GA
NPI
1780880690
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Other Name
ANNA LISA DERENTHAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC004373)
Enumeration Date
2007-06-26
Last Update Date
2007-07-08
Business Address
Mrs. ANNALISA DERENTHAL MS, LPC, NCC
11285 ELKINS RD D-4
ROSWELL, GA 30076-1259
Phone number: 678-431-3901
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Mailing Address
Mrs. ANNALISA DERENTHAL MS, LPC, NCC
530 JON SCOTT DR
ALPHARETTA, GA 30004-2125
Phone number: 678-431-3901
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