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1871913087
AUDREY MACK
MARTINEZ, GA
NPI
1871913087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC006746)
Enumeration Date
2014-04-27
Last Update Date
2014-04-27
Business Address
-- AUDREY MACK
3711 EXECUTIVE CENTER DR SUITE 202 OFFICE #3
MARTINEZ, GA 30907-0951
Phone number: 706-394-4357
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Mailing Address
-- AUDREY MACK
3490 BULLOCK AVE
AUGUSTA, GA 30906-4615
Phone number: 706-394-4357
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