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1114425204
AGAPE TRANSFORMATION PRACTICE
DECATUR, GA
NPI
1114425204
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Entity Type
Organization
Authorized Contact
KARRION D LALOR
CEO
678-753-5248
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: GA LPC006638)
Enumeration Date
2018-01-24
Last Update Date
2018-01-24
Business Address
AGAPE TRANSFORMATION PRACTICE
235 E PONCE DE LEON AVE STE 103
DECATUR, GA 30030-3412
Phone number: 678-753-5248
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Mailing Address
AGAPE TRANSFORMATION PRACTICE
4978 RIVER OVERLOOK WAY
LITHONIA, GA 30038-6234
Phone number: 678-753-5248
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