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1184107831
MELANIE KIM PROCTOR
LAWRENCEVILLE, GA
NPI
1184107831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA MSW007428)
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
MELANIE KIM PROCTOR LMSW
325 MERRITT DR
LAWRENCEVILLE, GA 30044-4597
Phone number: 770-277-1016
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Mailing Address
MELANIE KIM PROCTOR LMSW
325 MERRITT DR
LAWRENCEVILLE, GA 30044-4597
Phone number: 770-277-1016
Copy
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