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1275767196
LOUISE KELLY
FAYETTEVILLE, GA
NPI
1275767196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: GA APC001523)
Enumeration Date
2009-05-06
Last Update Date
2009-05-06
Business Address
Ms. LOUISE KELLY LAPC
1044 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4515
Phone number: 770-716-6630
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Mailing Address
Ms. LOUISE KELLY LAPC
PO BOX 142666
FAYETTEVILLE, GA 30214-6519
Phone number: 770-716-6630
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