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1073332367
LAVITA D MADDOX
MARIETTA, GA
NPI
1073332367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2024-10-04
Last Update Date
2024-10-04
Business Address
LAVITA D MADDOX
1788 AUSTELL RD SW APT H6
MARIETTA, GA 30008-4372
Phone number: 470-755-5202
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Mailing Address
LAVITA D MADDOX
1788 AUSTELL RD SW APT H6
MARIETTA, GA 30008-4372
Phone number: 470-755-5202
Copy
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