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1053688143
CAROLYN ROSE TUCKER
CONYERS, GA
NPI
1053688143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC007670)
Enumeration Date
2011-11-17
Last Update Date
2014-01-28
Business Address
-- CAROLYN ROSE TUCKER LPC
1009 MILSTEAD AVE NE STE 210
CONYERS, GA 30012-4510
Phone number: 770-789-0847
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Mailing Address
-- CAROLYN ROSE TUCKER LPC
2424 SANTA BARBRA CT SE
CONYERS, GA 30013-2006
Phone number: 770-789-0847
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