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From Family Counseling Associates of North

Georgia
110 Samaritan Drive Suite 110
Cumming, GA 30040

Invoice
Invoice #7934
To Jennifer Ade
Issue Date 02/18/2018

Client Brady Ade Provider Amanda Slaughter


NPI: #1346447802
(440) 653-3303
jenniferade76@gmail.com (888) 850-4891
admin@familycounseling4ng.
Responsible Party com
Jennifer Ade

jenniferade76@gmail.com

Date Description Amount

01/24/2018 Fee Adjustment for the session on 01/24/2018 $84.60

01/30/2018 Fee Adjustment for the session on 01/30/2018 $84.60

01/31/2018 Fee Adjustment for the session on 01/31/2018 $84.60

02/07/2018 Fee Adjustment for the session on 02/07/2018 $25 CR

Total $228.80
Make payments to: Family Counseling Associates of North Georgia

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