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1568731495
TAMARA DAWN LIVELY
HIRAM, GA
NPI
1568731495
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Former Name
TAMARA DAWN STEWART
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA lpc011146)
Enumeration Date
2011-12-21
Last Update Date
2019-10-27
Business Address
Mrs. TAMARA DAWN LIVELY M.A., LPC
126 ENTERPRISE PATH
HIRAM, GA 30141-2656
Phone number: 678-896-8959
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Mailing Address
Mrs. TAMARA DAWN LIVELY M.A., LPC
305 SEALS DR
DALLAS, GA 30157-6761
Phone number: 678-816-9050
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