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1780967653
LAQUETTA FLORENCIA GRAY
FORT BENNING, GA
NPI
1780967653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004527)
Enumeration Date
2011-09-27
Last Update Date
2011-09-27
Business Address
Ms. LAQUETTA FLORENCIA GRAY LMSW, LCSW
7950 MARTIN LOOP
FORT BENNING, GA 31905-5648
Phone number: 706-545-1661
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Mailing Address
Ms. LAQUETTA FLORENCIA GRAY LMSW, LCSW
909 FARR RD APT 17
COLUMBUS, GA 31907-6483
Phone number: 706-718-6823
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