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1407310543
LISA DIANNE LAVALLEE
COLUMBUS, GA
NPI
1407310543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC006426)
Enumeration Date
2019-01-23
Last Update Date
2019-01-23
Business Address
Ms. LISA DIANNE LAVALLEE LAPC
1727 BOXWOOD PL
COLUMBUS, GA 31906-2328
Phone number: 706-569-0727
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Mailing Address
Ms. LISA DIANNE LAVALLEE LAPC
1727 BOXWOOD PL
COLUMBUS, GA 31906-2328
Phone number: 706-569-0737
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