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1700136702
HOLLY MIMS
NEWNAN, GA
NPI
1700136702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC5821)
Enumeration Date
2012-09-17
Last Update Date
2022-03-25
Business Address
HOLLY MIMS LPC
2305 HIGHWAY 34 E
NEWNAN, GA 30265-1329
Phone number: 678-423-1043
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Mailing Address
HOLLY MIMS LPC
PO BOX 90107
EAST POINT, GA 30364-0107
Phone number: 410-905-5678
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