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1366970782
ELLYCE DIANA PAYNE
KENNESAW, GA
NPI
1366970782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA 005656)
Enumeration Date
2017-05-30
Last Update Date
2017-05-30
Business Address
ELLYCE DIANA PAYNE MS, NCC, LAPC
6095 PINE MOUNTAIN RD NW STE 105
KENNESAW, GA 30152-3332
Phone number: 678-217-7529
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Mailing Address
ELLYCE DIANA PAYNE MS, NCC, LAPC
2743 FAIRFIELD DR SW
MARIETTA, GA 30064-3721
Phone number: 678-522-7832
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