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1548336639
JENNIFER FIELD MARK
CANTON, GA
NPI
1548336639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC003893)
Enumeration Date
2006-11-28
Last Update Date
2012-06-20
Business Address
-- JENNIFER FIELD MARK LPC
200 MEDICAL LN
CANTON, GA 30114-2421
Phone number: 770-403-1906
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Mailing Address
-- JENNIFER FIELD MARK LPC
200 MEDICAL LN
CANTON, GA 30114-2421
Phone number: 770-403-1906
Copy
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