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1760929004
SHANNON A TRAYWICK
AUSTELL, GA
NPI
1760929004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 003654)
Enumeration Date
2017-01-25
Last Update Date
2017-01-25
Business Address
Mrs. SHANNON A TRAYWICK LPC
6133 LOVE ST
AUSTELL, GA 30168-4711
Phone number: 770-819-9229
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Mailing Address
Mrs. SHANNON A TRAYWICK LPC
1216 WEEPING WILLOW
WOODSTOCK, GA 30188-4650
Phone number:
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