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1134419104
JYLISE LOVELLE MIDDLETON
STONE MOUNTAIN, GA
NPI
1134419104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 006167)
Enumeration Date
2011-04-12
Last Update Date
2011-04-12
Business Address
Mrs. JYLISE LOVELLE MIDDLETON LPC
632 FIELD CLIFF DR
STONE MOUNTAIN, GA 30087-4908
Phone number: 404-518-9028
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Mailing Address
Mrs. JYLISE LOVELLE MIDDLETON LPC
632 FIELD CLIFF DR
STONE MOUNTAIN, GA 30087-4908
Phone number: 404-518-9028
Copy
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