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1306070958
ANGELA LESLIE ELLIS
TUCKER, GA
NPI
1306070958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC005488)
Enumeration Date
2009-05-12
Last Update Date
2009-05-12
Business Address
Ms. ANGELA LESLIE ELLIS LPC
100 CRESCENT CENTER PKWY SUITE 1290
TUCKER, GA 30084-7060
Phone number: 770-621-0479
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Mailing Address
Ms. ANGELA LESLIE ELLIS LPC
2561 RAINOVER CT
DECATUR, GA 30034-2264
Phone number: 404-288-3759
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