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1134294101
TAMORA ELLEN YOUNG
LOGANVILLE, GA
NPI
1134294101
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Former Name
TAMORA ELLEN RICE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: GA LPC002129)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
TAMORA ELLEN YOUNG LPC MAC
4396 LAWRENCEVILLE RD SUITE 104
LOGANVILLE, GA 30052
Phone number: 678-313-8784
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Mailing Address
TAMORA ELLEN YOUNG LPC MAC
4396 LAWRENCEVILLE RD SUITE 104
LOGANVILLE, GA 30052
Phone number: 678-313-8784
Copy
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