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1497501928
SANDRA PORTER
STOCKBRIDGE, GA
NPI
1497501928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: GA LPC014491)
Enumeration Date
2024-04-25
Last Update Date
2024-04-25
Business Address
SANDRA PORTER LPC, NCC
245 COUNTRY CLUB DR BLDG 100A
STOCKBRIDGE, GA 30281-7216
Phone number: 404-917-5725
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Mailing Address
SANDRA PORTER LPC, NCC
PO BOX 390644
SNELLVILLE, GA 30039-0011
Phone number: 404-917-5725
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