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Individual

DR. BONITA ELAINE CULBRETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
145 GOVERNORS SQ STE A, FAYETTEVILLE, GA 30215-4861
(770) 355-8256
Mailing address
170 BUCKHORN TRL, FAYETTEVILLE, GA 30214-6007
(770) 355-8256

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13606
FL

Other

Enumeration date
09/05/2012
Last updated
09/05/2012
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