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1720353659
LISA COTTRELL
DECATUR, GA
NPI
1720353659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: GA LPC004983)
Enumeration Date
2012-03-10
Last Update Date
2012-03-10
Business Address
MS. LISA COTTRELL L.P.C.
601 W PONCE DE LEON AVE
DECATUR, GA 30030-2952
Phone number: 404-931-3066
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Mailing Address
MS. LISA COTTRELL L.P.C.
PO BOX 465
AVONDALE ESTATES, GA 30002-0465
Phone number: 404-931-3066
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