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1831598606
KENTOSHA CODY
STOCKBRIDGE, GA
NPI
1831598606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: GA APC003564)
Enumeration Date
2014-08-18
Last Update Date
2015-12-30
Business Address
KENTOSHA CODY
110 WALTER WAY #765
STOCKBRIDGE, GA 30281-9533
Phone number: 404-260-1377
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Mailing Address
KENTOSHA CODY
657 MORNINGSIDE DR N
STOCKBRIDGE, GA 30281-2354
Phone number: 678-760-5940
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