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General NPI Number Information
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NPI Number | 1215114327
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Entity Type | Organization
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Legal Business Name | GWINNETT FAMILY GUIDANCE CENTER
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 6045 ATLANTIC BLVD. SUITE 218
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City | NORCROSS
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State | GA
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Zip | 30071-1334
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Country | US
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Telephone | 770-449-0815
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Fax | 770-449-5759
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Provider Business Mailing Address
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Address Line | P.O. BOX 562
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City | NORCROSS
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State | GA
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Zip | 30091-0562
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Country | US
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Telephone | 770-449-0815
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Fax | 770-449-5759
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LORETTA ANN STEURER
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Credential | MSW, ACSW, LMFT,LLSW
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Telephone | 770-449-0815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000476LMFT
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 000556LCSW
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License Number State | GA
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