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1720424054
LISA MAYO
AUGUSTA, GA
NPI
1720424054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC006948)
Enumeration Date
2013-05-14
Last Update Date
2013-05-14
Business Address
-- LISA MAYO LPC
3643 WALTON WAY EXT
AUGUSTA, GA 30909-4507
Phone number: 706-364-1404
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Mailing Address
-- LISA MAYO LPC
3643 WALTON WAY EXT
AUGUSTA, GA 30909-4507
Phone number: 706-364-1404
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