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1588068670
MARY RUSSELL-WRIGHT
TYRONE, GA
NPI
1588068670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: GA LPC 007138)
Enumeration Date
2014-10-17
Last Update Date
2014-10-17
Business Address
MARY RUSSELL-WRIGHT LPC
104 WORTHINGTON CT
TYRONE, GA 30290-1550
Phone number: 321-279-7503
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Mailing Address
MARY RUSSELL-WRIGHT LPC
104 WORTHINGTON CT
TYRONE, GA 30290-1550
Phone number: 321-279-7503
Copy
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