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1013504893
MALLORY S PARKER
HIRAM, GA
NPI
1013504893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: GA APC007183)
Enumeration Date
2020-12-28
Last Update Date
2020-12-28
Business Address
MALLORY S PARKER
848 HIRAM ACWORTH HWY BLDG 100
HIRAM, GA 30141-2286
Phone number: 678-818-5877
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Mailing Address
MALLORY S PARKER
235 SUSIE CREEK LN
VILLA RICA, GA 30180-5214
Phone number: 770-365-1419
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