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1225650245
LYDIA BISHOP
CANTON, GA
NPI
1225650245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW05096)
Enumeration Date
2020-05-13
Last Update Date
2020-05-13
Business Address
LYDIA BISHOP LCSW
124 ACADEMY LN
CANTON, GA 30114-9903
Phone number: 770-262-7943
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Mailing Address
LYDIA BISHOP LCSW
124 ACADEMY LN
CANTON, GA 30114-9903
Phone number: 770-262-7943
Copy
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