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1518511740
MAUDESTA SCOTT CALEB
GROVETOWN, GA
NPI
1518511740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC010166)
Enumeration Date
2019-07-25
Last Update Date
2023-07-01
Business Address
MAUDESTA SCOTT CALEB LPC
4039 GATEWAY BLVD STE 201
GROVETOWN, GA 30813-3390
Phone number: 706-432-6866
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Mailing Address
MAUDESTA SCOTT CALEB LPC
1247 PARAMOUNT CT
HEPHZIBAH, GA 30815-4554
Phone number: 478-241-4349
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