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1417410267
CARY ELIZABETH LEATHERWOOD BROCK
DALTON, GA
NPI
1417410267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LPC010903)
Enumeration Date
2019-04-09
Last Update Date
2019-04-09
Business Address
CARY ELIZABETH LEATHERWOOD BROCK LPC
1414 DUG GAP RD
DALTON, GA 30720-5007
Phone number: 706-279-0405
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Mailing Address
CARY ELIZABETH LEATHERWOOD BROCK LPC
253 CASH RD NE
CALHOUN, GA 30701-9717
Phone number: 706-676-0262
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