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1427715085
KRISTEN HEATHER KOTH
TUCKER, GA
NPI
1427715085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA 011784)
Enumeration Date
2021-11-18
Last Update Date
2021-11-18
Business Address
Dr. KRISTEN HEATHER KOTH LPC
3754 LAVISTA RD STE 200
TUCKER, GA 30084-5627
Phone number: 470-344-6551
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Mailing Address
Dr. KRISTEN HEATHER KOTH LPC
3044 BRIARCLIFF RD NE APT 7
ATLANTA, GA 30329-2619
Phone number: 404-805-9755
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