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Individual

DONNA DOLORES SLABODA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADC-II

Contact information

Practice address
1 HUNTINGTON RD STE 704, ATHENS, GA 30606-7215
(706) 350-1078
Mailing address
1928 BROAD ST, STATHAM, GA 30666-1547
(706) 350-1078

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
815
GA

Other

Enumeration date
09/18/2020
Last updated
09/18/2020
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