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1265505929
LATISE EGESTON
DECATUR, GA
NPI
1265505929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 003589)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
-- LATISE EGESTON LPC
4290 MEMORIAL DR
DECATUR, GA 30032-1225
Phone number: 404-294-0774
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Mailing Address
-- LATISE EGESTON LPC
3578 S FULTON AVE
HAPEVILLE, GA 30354-1756
Phone number: 404-669-3462
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