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1083153142
CONNIE J YOUNG-GIBRALTARIK
STOCKBRIDGE, GA
NPI
1083153142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC009420)
Enumeration Date
2017-02-21
Last Update Date
2017-04-23
Business Address
-- CONNIE J YOUNG-GIBRALTARIK MEd, MA, LPC
950 EAGLES LANDING PKWY SUITE 665
STOCKBRIDGE, GA 30281-7343
Phone number: 510-914-7540
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Mailing Address
-- CONNIE J YOUNG-GIBRALTARIK MEd, MA, LPC
950 EAGLES LANDING PKWY SUITE 665
STOCKBRIDGE, GA 30281-7343
Phone number: 510-914-7540
Copy
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