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1902218134
EVERICK SCOTT LESANE
MCDONOUGH, GA
NPI
1902218134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC006164)
Enumeration Date
2014-05-22
Last Update Date
2016-10-18
Business Address
Dr. EVERICK SCOTT LESANE PhD, LPC
200 W CAMPGROUND RD
MCDONOUGH, GA 30253-8002
Phone number: 404-795-2111
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Mailing Address
Dr. EVERICK SCOTT LESANE PhD, LPC
100 POSTMASTER DR #3092
MCDONOUGH, GA 30253-2838
Phone number: 404-795-2111
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