JACQUELINE ALEXANDRA LILLY

WOODSTOCK, GA
NPI1205479490
Former NameJACQUELINE ALEXANDRA RYANCZAK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-10-21
Last Update Date2019-10-21
Business Address
JACQUELINE ALEXANDRA LILLY LPC
700 CHURCHILL CT STE 110
WOODSTOCK, GA 30188-6880
Phone number: 770-284-9092
Mailing Address
JACQUELINE ALEXANDRA LILLY LPC
1734 TAPPAHANNOCK TRL
MARIETTA, GA 30062-2087
Phone number:
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