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Individual
MS. SHAWNTELL PHOENIX-MARTIN
Active
Individual
MS. SHAWNTELL PHOENIX-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004859
GA
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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