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1538994397
KATRINA SELF
LAGRANGE, GA
NPI
1538994397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: GA APC009556)
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
KATRINA SELF LPC
104 HARWELL AVE
LAGRANGE, GA 30240-3132
Phone number: 706-837-0045
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Mailing Address
KATRINA SELF LPC
104 HARWELL AVE
LAGRANGE, GA 30240-3132
Phone number: 706-837-0045
Copy
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