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1447010624
KATHLEEN SOPHIA MELOY LANE
CARROLLTON, GA
NPI
1447010624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT009089)
Enumeration Date
2024-03-22
Last Update Date
2024-03-28
Business Address
KATHLEEN SOPHIA MELOY LANE
812 S PARK ST STE 1
CARROLLTON, GA 30117-4412
Phone number: 770-834-7436
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Mailing Address
KATHLEEN SOPHIA MELOY LANE
812 S PARK ST STE 1
CARROLLTON, GA 30117-4412
Phone number:
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