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1376328252
MARISSA PORTEE
DALLAS, GA
NPI
1376328252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC010134)
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
MARISSA PORTEE LPC
153 RIVULET DR
DALLAS, GA 30132-9322
Phone number: 770-342-9691
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Mailing Address
MARISSA PORTEE LPC
153 RIVULET DR
DALLAS, GA 30132-9322
Phone number: 770-342-9691
Copy
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