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1871806992
JACQUELINE LATRICIA SLACK
ATLANTA, GA
NPI
1871806992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: GA LPC005620)
Enumeration Date
2010-07-18
Last Update Date
2023-01-26
Business Address
JACQUELINE LATRICIA SLACK LPC, NCC
80 JOSEPH E LOWERY BLVD NW
ATLANTA, GA 30314-3421
Phone number: 404-226-7553
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Mailing Address
JACQUELINE LATRICIA SLACK LPC, NCC
PO BOX 5810
ATLANTA, GA 31107-0810
Phone number: 404-226-7553
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