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1184911190
VIVIAN KISH
HINESVILLE, GA
NPI
1184911190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: GA LPC004363)
Enumeration Date
2011-06-29
Last Update Date
2011-06-29
Business Address
VIVIAN KISH LPC
1458 AIRPORT RD
HINESVILLE, GA 31313-9401
Phone number: 912-877-7928
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Mailing Address
VIVIAN KISH LPC
1458 AIRPORT RD
HINESVILLE, GA 31313-9401
Phone number: 912-877-7928
Copy
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