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1164929980
JESSE LEWALLEN
DAWSONVILLE, GA
NPI
1164929980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC010143)
Enumeration Date
2018-04-09
Last Update Date
2018-04-09
Business Address
JESSE LEWALLEN
671 LUMPKIN CAMPGROUND RD S
DAWSONVILLE, GA 30534-0922
Phone number: 678-866-8777
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Mailing Address
JESSE LEWALLEN
5610 LAKEVIEW CT
GAINESVILLE, GA 30506-6517
Phone number:
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