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1346691540
GERA IRVINE
MACON, GA
NPI
1346691540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: GA LPC3186)
Enumeration Date
2016-06-29
Last Update Date
2016-06-29
Business Address
GERA IRVINE LPC
105 WILLIAM WAY
MACON, GA 31216-6160
Phone number: 478-327-7683
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Mailing Address
GERA IRVINE LPC
105 WILLIAM WAY
MACON, GA 31216-6160
Phone number: 478-327-7683
Copy
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