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1831155829
H. ELLIS CARPENTER
LAGRANGE, GA
NPI
1831155829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: GA 710)
Enumeration Date
2006-04-26
Last Update Date
2008-05-16
Business Address
H. ELLIS CARPENTER LMFT
300 MEDICAL DR SUITE 705 ELLIS CARPENTER, LMFT
LAGRANGE, GA 30240-4155
Phone number: 706-885-0111
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Mailing Address
H. ELLIS CARPENTER LMFT
300 MEDICAL DR SUITE 705
LAGRANGE, GA 30240-4130
Phone number: 706-885-0111
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