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1790232247
SHENETHA DANIEL
LAWRENCEVILLE, GA
NPI
1790232247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC005495)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- SHENETHA DANIEL LAPC
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2680
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Mailing Address
-- SHENETHA DANIEL LAPC
1302 RIVER CLUB DR NE
CONYERS, GA 30012-6617
Phone number: 404-290-8890
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