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Organization
BOSS LADY SWAG LLC
Active
Organization
BOSS LADY SWAG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TOMEKIA HOLANDIA RAINES (OWNER/ADMINISTRATOR)
(470) 202-8812
Entity
Organization
Contact information
Practice address
125 JENNINGS MILL PKWY APT 1202, ATHENS, GA 30606-7458
(706) 338-9345
Mailing address
125 JENNINGS MILL PKWY APT 1202, ATHENS, GA 30606-7458
(706) 338-9345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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