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1982167458
IYANA RENE' BASS MCCAIN
VALDOSTA, GA
NPI
1982167458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA APC005614)
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
IYANA RENE' BASS MCCAIN LAPC
206 E ADAIR ST
VALDOSTA, GA 31601-4508
Phone number: 229-247-4237
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Mailing Address
IYANA RENE' BASS MCCAIN LAPC
206 E ADAIR ST
VALDOSTA, GA 31601-4508
Phone number:
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