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1295196186
ETHEL LONDON
TUCKER, GA
NPI
1295196186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: GA LPC008319)
Enumeration Date
2016-03-19
Last Update Date
2016-03-19
Business Address
ETHEL LONDON LPC
2227 IDLEWOOD RD SUITE 2
TUCKER, GA 30084-4827
Phone number: 678-922-2834
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Mailing Address
ETHEL LONDON LPC
PO BOX 490112
LAWRENCEVILLE, GA 30049-0002
Phone number: 404-285-8122
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