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1578921508
LILY SCIVICQUE
ATLANTA, GA
NPI
1578921508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC008657)
Enumeration Date
2016-02-04
Last Update Date
2016-02-04
Business Address
-- LILY SCIVICQUE LPC
80 JESSE HILL JR DR SE
ATLANTA, GA 30303-3031
Phone number: 404-790-0800
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Mailing Address
-- LILY SCIVICQUE LPC
1032 LENA ST NW
ATLANTA, GA 30314-2953
Phone number: 404-790-0800
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