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1487313821
KELLY DENISE GORHAM
CONYERS, GA
NPI
1487313821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC012546)
Enumeration Date
2021-12-13
Last Update Date
2021-12-13
Business Address
Mrs. KELLY DENISE GORHAM LPC
2605 HOLLOW PNE
CONYERS, GA 30094-3982
Phone number: 770-940-1792
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Mailing Address
Mrs. KELLY DENISE GORHAM LPC
2605 HOLLOW PNE
CONYERS, GA 30094-3982
Phone number: 770-940-1792
Copy
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