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1083091987
KIMBERLY WALLACE
MARIETTA, GA
NPI
1083091987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC008384)
Enumeration Date
2015-04-29
Last Update Date
2023-11-24
Business Address
Ms. KIMBERLY WALLACE LPC
2852 JOHNSON FERRY RD STE 100
MARIETTA, GA 30062-5686
Phone number: 404-906-9831
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Mailing Address
Ms. KIMBERLY WALLACE LPC
2852 JOHNSON FERRY RD STE 100
MARIETTA, GA 30062-5686
Phone number: 404-906-9831
Copy
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