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1023359171
LILLIE KORAN CUNNINGHAM
MACON, GA
NPI
1023359171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA MFT001354)
Enumeration Date
2013-03-13
Last Update Date
2014-10-07
Business Address
-- LILLIE KORAN CUNNINGHAM LMFT
6601 ZEBULON RD
MACON, GA 31220-7606
Phone number: 478-477-3383
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Mailing Address
-- LILLIE KORAN CUNNINGHAM LMFT
521 ANDERSON AVE
FORT VALLEY, GA 31030-4140
Phone number: 478-477-3383
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