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1619040540
STAN EARNEST LEPARD
CARROLLTON, GA
NPI
1619040540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: GA LPC003952)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
Mr. STAN EARNEST LEPARD M.Ed., LPC, NCC
907 S PARK ST STE F
CARROLLTON, GA 30117-4455
Phone number: 678-796-1035
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Mailing Address
Mr. STAN EARNEST LEPARD M.Ed., LPC, NCC
907F SOUTH PARK STREET
CARROLLTON, GA 30117
Phone number: 678-796-1035
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