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1487931069
STACEY ALTMAN YOUNGBLOOD
AUGUSTA, GA
NPI
1487931069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC006539)
Enumeration Date
2011-11-09
Last Update Date
2011-11-09
Business Address
Mrs. STACEY ALTMAN YOUNGBLOOD LPC
103 ROSSMORE PL
AUGUSTA, GA 30909-5769
Phone number: 706-364-7165
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Mailing Address
Mrs. STACEY ALTMAN YOUNGBLOOD LPC
446 FLOWING CREEK DR
EVANS, GA 30809-6425
Phone number: 706-364-7165
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