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Individual

MRS. DONNA BING MANTOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
55 INTERNATIONAL PKWY, ADAIRSVILLE, GA 30103
(888) 295-2974
(770) 773-3655
Mailing address
2722 BLACKS BLUFF RD SW, ROME, GA 30161-4337
(706) 295-4809

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3364
GA

Other

Enumeration date
03/12/2007
Last updated
07/08/2007
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