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1063717197
PATRICE EUSTACHE JUCKS
MARIETTA, GA
NPI
1063717197
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Former Name
PATRICE VAUGHN EUSTACHE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC005669)
Enumeration Date
2011-01-20
Last Update Date
2013-10-31
Business Address
Dr. PATRICE EUSTACHE JUCKS EdD, LPC
2655 DALLAS HWY SW STE 530
MARIETTA, GA 30064-2597
Phone number: 678-919-1077
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Mailing Address
Dr. PATRICE EUSTACHE JUCKS EdD, LPC
4405 NORTHSIDE PKWY NW APT 2414
ATLANTA, GA 30327-5206
Phone number: 770-715-6880
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