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1831481068
LINDA HEAVISIDE
MARIETTA, GA
NPI
1831481068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC007550)
Enumeration Date
2011-05-05
Last Update Date
2016-03-14
Business Address
Ms. LINDA HEAVISIDE M.S., LPC, NCC
1640 POWERS FERRY RD SE STE 300
MARIETTA, GA 30067-5491
Phone number: 404-423-8417
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Mailing Address
Ms. LINDA HEAVISIDE M.S., LPC, NCC
1640 POWERS FERRY RD SE STE 300
MARIETTA, GA 30067-5491
Phone number: 404-423-8417
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