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1629661921
VICTORIA ELLEN MALCOLM
MARIETTA, GA
NPI
1629661921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC002462)
Enumeration Date
2021-02-17
Last Update Date
2021-02-17
Business Address
VICTORIA ELLEN MALCOLM LPC
1525 OLD HUNTERS TRCE
MARIETTA, GA 30062-6149
Phone number: 404-314-1973
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Mailing Address
VICTORIA ELLEN MALCOLM LPC
1525 OLD HUNTERS TRCE
MARIETTA, GA 30062-6149
Phone number: 404-314-1973
Copy
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