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1437870771
SHANTALIEA HOLLOWAY
LOGANVILLE, GA
NPI
1437870771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC005114)
Enumeration Date
2022-09-06
Last Update Date
2022-09-06
Business Address
Ms. SHANTALIEA HOLLOWAY LPC
1551 ROSE GARDEN LN
LOGANVILLE, GA 30052-2467
Phone number: 678-913-8032
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Mailing Address
Ms. SHANTALIEA HOLLOWAY LPC
PO BOX 648
GRAYSON, GA 30017-0011
Phone number: 678-913-8032
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