| Address: | 4318 Allgood Way, Stone Mountain, GA 30083, USA |
|---|---|
| Postal code: | 30083 |
| Phone: | (404) 292-4338 |
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1669487385 - MS. MS. ANTONIA VINCENT LCSW Other Name: Mailing Address: 4318 ALLGOOD WAY STONE MOUNTAIN GA 30083-4808 Phone: 404-292-4338; Fax: ; Practice Location Address: 602 MILLWOOD SCHOOL RD, , GREENSBORO, NC, 27409-9683 Practice Phone: 678-978-7121; Practice Fax:
NPI: 1669487385 Provider Name (Legal Business Name): ANTONIA VINCENT LCSW Entity Type: Individual Gender: Female Sole Proprietor: N. II. Dates (important events) Enumeration Date: 07/30/2006 Last Update Date: 03/17/2018 Certification Date: Deactivation Date: Reactivation Date: III. Provider practice location address