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1326100173
TALITHA MAZYCK
CONYERS, GA
NPI
1326100173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA APC001480)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
-- TALITHA MAZYCK MHP, LAPC
977 TAYLOR ST SW # A
CONYERS, GA 30012-5357
Phone number: 770-918-6677
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Mailing Address
-- TALITHA MAZYCK MHP, LAPC
5568 STRATHMOOR MANOR CIR
LITHONIA, GA 30058-2624
Phone number: 404-849-5400
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