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1538719216
LISA WILSON
ATLANTA, GA
NPI
1538719216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC011140)
Enumeration Date
2019-09-16
Last Update Date
2019-09-16
Business Address
LISA WILSON LPC
2849B HENDERSON MILL RD
ATLANTA, GA 30341-5772
Phone number: 647-902-5472
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Mailing Address
LISA WILSON LPC
4680 SAINT JAMES WAY
DECATUR, GA 30035-2248
Phone number: 678-902-5472
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