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1740512904
PATRICIA ANNE HIGGINBOTHAM
MARIETTA, GA
NPI
1740512904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC003173)
Enumeration Date
2010-02-12
Last Update Date
2010-02-12
Business Address
-- PATRICIA ANNE HIGGINBOTHAM LPC
607 FAIRFIELD DR
MARIETTA, GA 30068
Phone number: 404-437-7887
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Mailing Address
-- PATRICIA ANNE HIGGINBOTHAM LPC
607 FAIRFIELD DR
MARIETTA, GA 30068-4103
Phone number: 404-437-7887
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