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1336755537
LESLIE PHILLOS DUCKETT
WOODSTOCK, GA
NPI
1336755537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC010687)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
LESLIE PHILLOS DUCKETT LPC, NCC
208 RIVER PARK NORTH DR
WOODSTOCK, GA 30188-7834
Phone number: 404-307-9071
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Mailing Address
LESLIE PHILLOS DUCKETT LPC, NCC
6750 POLO DR
CUMMING, GA 30040-5725
Phone number: 404-403-5690
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