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1992323430
SAMANTHA PONCERE DANIELS
EVANS, GA
NPI
1992323430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC006854)
Enumeration Date
2020-07-10
Last Update Date
2020-07-10
Business Address
Ms. SAMANTHA PONCERE DANIELS MS
4573 COX RD STE B
EVANS, GA 30809-3449
Phone number: 706-922-3027
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Mailing Address
Ms. SAMANTHA PONCERE DANIELS MS
PO BOX 5741
AUGUSTA, GA 30916-5741
Phone number: 706-373-8619
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