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1245614916
TRACEY BAZEMORE
HINESVILLE, GA
NPI
1245614916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC003735)
Enumeration Date
2015-07-13
Last Update Date
2015-07-13
Business Address
Dr. TRACEY BAZEMORE LPC
318 S. WELLBORN STREET SUITE C
HINESVILLE, GA 31313
Phone number: 912-332-5145
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Mailing Address
Dr. TRACEY BAZEMORE LPC
318 S. WELLBORN STREET SUITE C
HINESVILLE, GA 31313
Phone number: 912-332-5145
Copy
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