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1871169805
STACEY WRIGHT
TUCKER, GA
NPI
1871169805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC007921)
Enumeration Date
2021-06-01
Last Update Date
2021-06-01
Business Address
STACEY WRIGHT
2370 MAIN ST
TUCKER, GA 30084-4456
Phone number: 678-253-2292
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Mailing Address
STACEY WRIGHT
2789 WILSON GLN
DECATUR, GA 30033-1457
Phone number: 404-227-0055
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