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1467863308
JESSICA LAUREN MATHISEN
ROSWELL, GA
NPI
1467863308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC007311)
Enumeration Date
2014-05-14
Last Update Date
2020-02-13
Business Address
Ms. JESSICA LAUREN MATHISEN LPC
800 OLD ROSWELL LAKES PKWY SUITE 260
ROSWELL, GA 30076-1675
Phone number: 214-425-4448
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Mailing Address
Ms. JESSICA LAUREN MATHISEN LPC
PO BOX 523
ROSWELL, GA 30077-0523
Phone number: 214-425-4448
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