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1396487302
ALIESHA MUMFORD
MACON, GA
NPI
1396487302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA MSW008638)
Enumeration Date
2022-04-11
Last Update Date
2022-04-11
Business Address
ALIESHA MUMFORD
116 PIERCE AVE
MACON, GA 31204-2891
Phone number: 478-464-3004
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Mailing Address
ALIESHA MUMFORD
104 WILLIAM JOHN LN
BONAIRE, GA 31005-4314
Phone number:
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