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1851765994
TARA HAYNES JIMINEZ
ACWORTH, GA
NPI
1851765994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 008472)
Enumeration Date
2015-11-29
Last Update Date
2024-08-28
Business Address
TARA HAYNES JIMINEZ MA, LPC
1720 MARS HILL RD NW STE 124-308
ACWORTH, GA 30101-7127
Phone number: 678-919-1077
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Mailing Address
TARA HAYNES JIMINEZ MA, LPC
20 WILLOW POND CT
ACWORTH, GA 30101-8603
Phone number: 210-861-2257
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