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1265109151
VERLICIA JEFFERSON-LANE
STOCKBRIDGE, GA
NPI
1265109151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC010235)
Enumeration Date
2021-08-27
Last Update Date
2021-08-27
Business Address
VERLICIA JEFFERSON-LANE
124 OAKWOOD CIR
STOCKBRIDGE, GA 30281-6356
Phone number: 770-898-8826
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Mailing Address
VERLICIA JEFFERSON-LANE
124 OAKWOOD CIR
STOCKBRIDGE, GA 30281-6356
Phone number:
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