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1073769188
MARY LOU KONSIN
ROSWELL, GA
NPI
1073769188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 005078)
Enumeration Date
2008-08-09
Last Update Date
2008-08-09
Business Address
Mrs. MARY LOU KONSIN LPC
10950 STROUP RD
ROSWELL, GA 30075-2218
Phone number: 770-640-6274
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Mailing Address
Mrs. MARY LOU KONSIN LPC
10950 STROUP RD
ROSWELL, GA 30075-2218
Phone number: 770-640-6274
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