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Individual

SONYA DECRUIZ- DORCELIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4382 ALYSHEBA DR, FAIRBURN, GA 30213-4344
(404) 271-2052
Mailing address
2089 CONKLE CT, RIVERDALE, GA 30296-2821
(404) 271-2052

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/10/2014
Last updated
06/27/2024
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