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1184135600
MYRA TERRY MUCKLE
GAINESVILLE, GA
NPI
1184135600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC007709)
Enumeration Date
2017-10-24
Last Update Date
2022-08-19
Business Address
MYRA TERRY MUCKLE
824 OAK ST
GAINESVILLE, GA 30501-3570
Phone number: 470-290-8684
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Mailing Address
MYRA TERRY MUCKLE
824 OAK ST
GAINESVILLE, GA 30501-3570
Phone number: 470-290-8684
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