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1306547195
KATELYN MARTIN
TUCKER, GA
NPI
1306547195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
(Licence: GA APC008329)
Enumeration Date
2023-03-17
Last Update Date
2023-03-17
Business Address
KATELYN MARTIN
3754 LAVISTA RD STE 200
TUCKER, GA 30084-5627
Phone number: 678-896-8246
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Mailing Address
KATELYN MARTIN
3754 LAVISTA RD STE 200
TUCKER, GA 30084-5627
Phone number: 678-896-8246
Copy
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