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1194276071
STACEY NICOLE PAXTON
FAYETTEVILLE, GA
NPI
1194276071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC010582)
Enumeration Date
2016-10-17
Last Update Date
2022-09-21
Business Address
Ms. STACEY NICOLE PAXTON LPC
220 LANIER AVE E STE 7
FAYETTEVILLE, GA 30214-1604
Phone number: 678-545-6692
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Mailing Address
Ms. STACEY NICOLE PAXTON LPC
220 LANIER AVE E STE 7
FAYETTEVILLE, GA 30214-1604
Phone number: 678-545-6692
Copy
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