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1992174817
EBONE COAKLEY
LAWRENCEVILLE, GA
NPI
1992174817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004856)
Enumeration Date
2015-09-22
Last Update Date
2016-08-31
Business Address
-- EBONE COAKLEY LCSW
1840 OLD NORCROSS RD SUITE 200
LAWRENCEVILLE, GA 30044-8803
Phone number: 770-355-6073
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Mailing Address
-- EBONE COAKLEY LCSW
519 HARMONYVIEW CT
LOGANVILLE, GA 30052-6233
Phone number: 770-355-6073
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