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1255538161
CONNIE RUTH DOMINY
MACON, GA
NPI
1255538161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA 002333)
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
Ms. CONNIE RUTH DOMINY LPC
745 RIVERSIDE DRIVE LN
MACON, GA 31201-2658
Phone number: 478-742-8785
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Mailing Address
Ms. CONNIE RUTH DOMINY LPC
745 RIVERSIDE DRIVE LN
MACON, GA 31201-2658
Phone number: 478-742-8785
Copy
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