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1184320004
LABREA RUSSELL
STONE MOUNTAIN, GA
NPI
1184320004
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Former Name
LABREA O'NEAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: GA APC0075551)
Enumeration Date
2023-02-02
Last Update Date
2023-02-02
Business Address
LABREA RUSSELL LAPC
770 VILLAGE SQUARE DR
STONE MOUNTAIN, GA 30083-3380
Phone number: 404-418-2190
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Mailing Address
LABREA RUSSELL LAPC
PO BOX 4
AVONDALE ESTATES, GA 30002-0004
Phone number: 404-418-2190
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