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1619530037
MAXINE PRINCE
CARROLLTON, GA
NPI
1619530037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
MAXINE PRINCE
153 INDEPENDENCE DR
CARROLLTON, GA 30116-9000
Phone number: 770-836-6678
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Mailing Address
MAXINE PRINCE
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240-5754
Phone number: 706-845-4045
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