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1457990616
KELLY LANNON
DECATUR, GA
NPI
1457990616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: GA LPC012140)
Enumeration Date
2020-01-04
Last Update Date
2024-04-26
Business Address
KELLY LANNON LPC, LCMHC
1123 CLAIREMONT AVE
DECATUR, GA 30030-1207
Phone number: 470-485-3938
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Mailing Address
KELLY LANNON LPC, LCMHC
4325 1ST AVE UNIT 2756
TUCKER, GA 30085-0330
Phone number: 470-485-3938
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