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1134666480
TANYA ELLIS-ASBURY
MARTINEZ, GA
NPI
1134666480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC008963)
Enumeration Date
2017-01-25
Last Update Date
2024-09-15
Business Address
TANYA ELLIS-ASBURY LPC
3710 EXECUTIVE CENTER DR STE B
MARTINEZ, GA 30907-0957
Phone number: 706-814-5329
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Mailing Address
TANYA ELLIS-ASBURY LPC
3710 EXECUTIVE CENTER DR STE. B
MARTINEZ, GA 30907-3117
Phone number: 706-250-0613
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