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1588136394
TRACEY TENNEY
LAGRANGE, GA
NPI
1588136394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: GA APC006820)
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
TRACEY TENNEY LAPC
610 RIDLEY AVE
LAGRANGE, GA 30240-2236
Phone number: 706-884-5050
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Mailing Address
TRACEY TENNEY LAPC
610 RIDLEY AVE
LAGRANGE, GA 30240-2236
Phone number:
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