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Individual

SHEILA DIANE DOGOTCH LUNDQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
9876 MAIN ST, SUITE 100, WOODSTOCK, GA 30188-3970
(678) 491-4620
(770) 516-1300
Mailing address
9876 MAIN STREET, SUITE 100, WOODSTOCK, GA 30188
(678) 491-4620
(770) 516-1300

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/26/2013
Last updated
09/26/2013
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