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1831647213
REVIVAL COUNSELING SERVICES INCORPORATED
DOUGLASVILLE, GA
NPI
1831647213
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Entity Type
Organization
Authorized Contact
DANIELLE BONICH
Sole Proprietor/Owner
678-656-8249
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2016-09-14
Last Update Date
2016-09-14
Business Address
REVIVAL COUNSELING SERVICES INCORPORATED
5357 CHAPEL HILL RD
DOUGLASVILLE, GA 30135-5027
Phone number: 770-942-4742
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Mailing Address
REVIVAL COUNSELING SERVICES INCORPORATED
4131 HIGH COUNTRY DR
DOUGLASVILLE, GA 30135-4265
Phone number: 678-656-8249
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