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1669169231
ELLY YOOIL JEONG
LAWRENCEVILLE, GA
NPI
1669169231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA CSW008625)
Enumeration Date
2023-04-24
Last Update Date
2024-11-11
Business Address
ELLY YOOIL JEONG LCSW
1730 WESTFIELD CT
LAWRENCEVILLE, GA 30043-5664
Phone number: 212-401-2206
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Mailing Address
ELLY YOOIL JEONG LCSW
1730 WESTFIELD CT
LAWRENCEVILLE, GA 30043-5664
Phone number: 212-401-2206
Copy
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