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1811503402
TRACY CULLOM
SUWANEE, GA
NPI
1811503402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA APC007578)
Enumeration Date
2020-09-18
Last Update Date
2020-09-18
Business Address
TRACY CULLOM MA, LAPC
4411 SUWANEE DAM RD
SUWANEE, GA 30024-8701
Phone number: 678-993-8464
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Mailing Address
TRACY CULLOM MA, LAPC
180 PIONEER DR
ATHENS, GA 30605-4016
Phone number: 404-259-8465
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