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1205825437
MARY PUCKETT GIBSON
LAWRENCEVILLE, GA
NPI
1205825437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC003992)
Enumeration Date
2005-10-20
Last Update Date
2014-07-23
Business Address
Ms. MARY PUCKETT GIBSON M.S., NCC, LPC
223 SCENIC HWY SUITE 100
LAWRENCEVILLE, GA 30045-5603
Phone number: 770-995-1846
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Mailing Address
Ms. MARY PUCKETT GIBSON M.S., NCC, LPC
2485 HINTON RD
DACULA, GA 30019-2155
Phone number: 678-377-2285
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