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1154658474
LISA GAIL RUDESEAL
MACON, GA
NPI
1154658474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 002130)
Enumeration Date
2009-11-06
Last Update Date
2009-11-06
Business Address
-- LISA GAIL RUDESEAL LPC
175 EMERY HWY
MACON, GA 31217-3692
Phone number: 478-751-4446
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Mailing Address
-- LISA GAIL RUDESEAL LPC
175 EMERY HWY
MACON, GA 31217-3692
Phone number: 478-751-4446
Copy
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