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1285117416
LISA KIRKPATRICK KETTERING
ACWORTH, GA
NPI
1285117416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC007035)
Enumeration Date
2018-09-13
Last Update Date
2019-11-23
Business Address
Mrs. LISA KIRKPATRICK KETTERING APC
6548 HIGHWAY 92 STE 100
ACWORTH, GA 30102-2572
Phone number: 678-770-1280
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Mailing Address
Mrs. LISA KIRKPATRICK KETTERING APC
19 BILLIES CV SE
ACWORTH, GA 30102-6894
Phone number: 678-770-1280
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