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1154781797
URSULA M DAVIS
MCDONOUGH, GA
NPI
1154781797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC006950)
Enumeration Date
2016-02-24
Last Update Date
2016-02-24
Business Address
-- URSULA M DAVIS LPC
255 RACETRACK RD
MCDONOUGH, GA 30252-6834
Phone number: 678-212-5146
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Mailing Address
-- URSULA M DAVIS LPC
4010 PEACHTREE FARMS RD
REX, GA 30273-1380
Phone number: 678-862-3383
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