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1710657614
MISTY-LEE K MARTIN
KENNESAW, GA
NPI
1710657614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC014096)
Enumeration Date
2021-09-14
Last Update Date
2023-09-06
Business Address
MISTY-LEE K MARTIN MA, LPC
4255 WADE GREEN RD NW
KENNESAW, GA 30144-1762
Phone number: 678-213-2194
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Mailing Address
MISTY-LEE K MARTIN MA, LPC
426 VALLEYSIDE DR
DALLAS, GA 30157-9373
Phone number: 770-891-0917
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