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1215688155
ELIZABETH THACKER
ATHENS, GA
NPI
1215688155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC013139)
Enumeration Date
2022-01-12
Last Update Date
2022-10-12
Business Address
ELIZABETH THACKER LPC
1 HUNTINGTON RD STE 703
ATHENS, GA 30606-7214
Phone number: 706-425-8900
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Mailing Address
ELIZABETH THACKER LPC
1 HUNTINGTON RD STE 703
ATHENS, GA 30606-7214
Phone number: 706-247-8087
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