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1588974117
KISHA A DIXON
MARIETTA, GA
NPI
1588974117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC005893)
Enumeration Date
2010-10-17
Last Update Date
2010-10-17
Business Address
-- KISHA A DIXON LPC NCC
2053 POWERS FERRY RD
MARIETTA, GA 30067-9675
Phone number: 678-523-7995
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Mailing Address
-- KISHA A DIXON LPC NCC
1323 HIGHWAY 54 E
FAYETTEVILLE, GA 30214-4356
Phone number: 678-523-7995
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