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1184076481
JILLIAN BLUM
DECATUR, GA
NPI
1184076481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA lpc008814)
Enumeration Date
2016-07-11
Last Update Date
2022-09-30
Business Address
JILLIAN BLUM LPC
165 DEKALB INDUSTRIAL WAY STE B8
DECATUR, GA 30030-2230
Phone number: 770-361-4627
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Mailing Address
JILLIAN BLUM LPC
3442 KENSINGTON PARC CIR
AVONDALE ESTATES, GA 30002-1779
Phone number: 770-361-4627
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