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1528815354
LATOYA SHANISE BIVINS
ATLANTA, GA
NPI
1528815354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC013260)
Enumeration Date
2024-04-30
Last Update Date
2024-04-30
Business Address
LATOYA SHANISE BIVINS LPC
715 PEACHTREE ST NE STE AND200
ATLANTA, GA 30308-2177
Phone number: 646-453-6777
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Mailing Address
LATOYA SHANISE BIVINS LPC
132 GRANT DR
CANTON, GA 30114-2247
Phone number: 478-952-1336
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