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1710462874
AMY KEMP BROCKMAN
CANTON, GA
NPI
1710462874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC010385)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
AMY KEMP BROCKMAN
310 PAPER TRAIL WAY STE 106
CANTON, GA 30115-5204
Phone number: 678-880-4645
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Mailing Address
AMY KEMP BROCKMAN
310 PAPER TRAIL WAY STE 106
CANTON, GA 30115-5204
Phone number: 678-880-4645
Copy
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