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1760725444
STACI BULLARD
NORCROSS, GA
NPI
1760725444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA 003731)
Enumeration Date
2013-04-01
Last Update Date
2013-04-01
Business Address
-- STACI BULLARD LAPC
4530 S BERKELEY LAKE RD
NORCROSS, GA 30071-1660
Phone number: 678-680-6722
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Mailing Address
-- STACI BULLARD LAPC
4530 S BERKELEY LAKE RD
NORCROSS, GA 30071-1660
Phone number:
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