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1790536167
PHOENIX RISING PSYCHOTHERAPY, LLC
ROSWELL, GA
NPI
1790536167
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Entity Type
Organization
Authorized Contact
KATHRYN BAUGUS KOPP
Owner
678-389-5327
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2024-04-01
Last Update Date
2024-06-24
Business Address
PHOENIX RISING PSYCHOTHERAPY, LLC
3045 RIVERMONT WAY
ROSWELL, GA 30076-2981
Phone number: 678-389-5327
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Mailing Address
PHOENIX RISING PSYCHOTHERAPY, LLC
1000 PEACHTREE INDUSTRIAL BLVD STE 6144
SUWANEE, GA 30024-6737
Phone number: 678-389-5327
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