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1497132997
NYJA ALCORN
LAWRENCEVILLE, GA
NPI
1497132997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA MSW006478)
Enumeration Date
2015-05-04
Last Update Date
2015-05-04
Business Address
-- NYJA ALCORN LMSW
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
-- NYJA ALCORN LMSW
390 STOVALL ST SE 3409
ATLANTA, GA 30316-1526
Phone number: 404-977-9266
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