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1003964131
MARY LINDA ELLIS
BUFORD, GA
NPI
1003964131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 003585)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
Mrs. MARY LINDA ELLIS L.P.C.
2070 BUFORD HWY STE 2-D
BUFORD, GA 30518-6079
Phone number: 770-271-9442
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Mailing Address
Mrs. MARY LINDA ELLIS L.P.C.
6120 MAPPERLEY LN
CUMMING, GA 30041-6176
Phone number:
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