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General NPI Number Information
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NPI Number | 1194167817
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Entity Type | Organization
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Legal Business Name | FAMILY ISSUES AND SOLUTIONS INC
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 343 SALEM GATE DR SE STE 203
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City | CONYERS
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State | GA
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Zip | 30013-1773
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Country | US
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Telephone | 404-516-2977
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Fax |
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Provider Business Mailing Address
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Address Line | 4490 PORTCHESTER WAY
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City | SNELLVILLE
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State | GA
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Zip | 30039-7027
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DIANA LAING
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Credential | LCSW
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Telephone | 404-516-2977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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