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1417676503
IVIE HALL
BUFORD, GA
NPI
1417676503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC013113)
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
IVIE HALL LPC
4305 S LEE ST STE 500
BUFORD, GA 30518-5785
Phone number: 404-590-7325
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Mailing Address
IVIE HALL LPC
3644 BUTTERCUP CT
BUFORD, GA 30519-1983
Phone number: 404-590-7325
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