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1952698227
GRNCSB
CONYERS, GA
NPI
1952698227
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Entity Type
Organization
Authorized Contact
TED M KIRK
Social Worker
770-918-6677
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
Enumeration Date
2011-07-07
Last Update Date
2011-07-07
Business Address
GRNCSB
977A TAYLOR STREET
CONYERS, GA 30012
Phone number: 770-918-6677
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Mailing Address
GRNCSB
977A TAYLOR ST
CONYERS, GA 30012
Phone number: 770-918-6677
Copy
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