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1821810433
JENNICELE RIVAS
BUFORD, GA
NPI
1821810433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC009121)
Enumeration Date
2024-10-26
Last Update Date
2024-10-26
Business Address
JENNICELE RIVAS APC
4330 S LEE ST STE 200A
BUFORD, GA 30518-5796
Phone number: 470-326-5176
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Mailing Address
JENNICELE RIVAS APC
110 MANOR WAY
BRASELTON, GA 30517-3579
Phone number: 770-990-0000
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