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1215542055
MERCEDES BRAXTON
MARIETTA, GA
NPI
1215542055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC011704)
Enumeration Date
2020-09-09
Last Update Date
2020-09-09
Business Address
MERCEDES BRAXTON
2130 KINGSTON CT SE STE E
MARIETTA, GA 30067-8952
Phone number: 708-574-5442
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Mailing Address
MERCEDES BRAXTON
290 BAYWOOD WAY
HIRAM, GA 30141-3186
Phone number: 708-574-5442
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