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1083964217
LACONYA MANUEL
WAYNESBORO, GA
NPI
1083964217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
-- LACONYA MANUEL
292 W 4TH ST
WAYNESBORO, GA 30830-1559
Phone number: 706-437-6863
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Mailing Address
-- LACONYA MANUEL
223 N ANDERSON DR P O BOX 1259
SWAINSBORO, GA 30401-4440
Phone number:
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