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Individual

ENRRIQUETA VAN TASSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
309 PIRKLE FERRY RD STE B100, CUMMING, GA 30040-2548
(770) 540-8799
Mailing address
6054 GLENMOOR PL, FLOWERY BRANCH, GA 30542-5435
(770) 540-8799

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
GA

Other

Enumeration date
07/06/2026
Last updated
07/06/2026
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