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1154090009
KRIS ELLEN SHOCK
KENNESAW, GA
NPI
1154090009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC007485)
Enumeration Date
2021-09-13
Last Update Date
2021-09-13
Business Address
KRIS ELLEN SHOCK APC
4255 WADE GREEN RD NW STE 414
KENNESAW, GA 30144-1763
Phone number: 678-213-2194
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Mailing Address
KRIS ELLEN SHOCK APC
59 GADDIS RD NW
CARTERSVILLE, GA 30120-4673
Phone number: 678-480-4275
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