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1982131983
CONSUELA DELORES DOUGLAS
ATLANTA, GA
NPI
1982131983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: GA MSW003163)
Enumeration Date
2017-05-22
Last Update Date
2017-05-22
Business Address
Mrs. CONSUELA DELORES DOUGLAS
1040 BOULEVARD SE
ATLANTA, GA 30312-3811
Phone number: 404-441-7967
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Mailing Address
Mrs. CONSUELA DELORES DOUGLAS
2423 CHEYENNE CT
DOUGLASVILLE, GA 30135-8113
Phone number:
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