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1295155281
SHALA NICELY
MARIETTA, GA
NPI
1295155281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC003826)
Enumeration Date
2014-04-17
Last Update Date
2014-04-17
Business Address
Ms. SHALA NICELY MS, LAPC, NCC
2993 SANDY PLAINS RD SUITE 115
MARIETTA, GA 30066-4695
Phone number: 404-632-4804
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Mailing Address
Ms. SHALA NICELY MS, LAPC, NCC
2993 SANDY PLAINS RD SUITE 115
MARIETTA, GA 30066-4695
Phone number: 404-632-4804
Copy
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