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1881365542
STACEY SALLEY
WARNER ROBINS, GA
NPI
1881365542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC012151)
Enumeration Date
2021-09-22
Last Update Date
2021-09-22
Business Address
Mr. STACEY SALLEY LPC
507 N DAVIS DR STE 1A
WARNER ROBINS, GA 31093-2687
Phone number: 478-508-0382
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Mailing Address
Mr. STACEY SALLEY LPC
507 N DAVIS DR STE 1A
WARNER ROBINS, GA 31093-2687
Phone number: 478-508-0382
Copy
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