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1497886378
AMBER J ILLUM
SUWANEE, GA
NPI
1497886378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC004396)
Enumeration Date
2007-03-09
Last Update Date
2013-01-28
Business Address
Mrs. AMBER J ILLUM LPC
3455 LAWRENCEVILLE SUWANEE RD STE A
SUWANEE, GA 30024-6425
Phone number: 770-932-2899
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Mailing Address
Mrs. AMBER J ILLUM LPC
3455 LAWRENCEVILLE SUWANEE RD STE A
SUWANEE, GA 30024-6425
Phone number: 770-932-2899
Copy
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