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1912206905
MAGAN SLACK
DECATUR, GA
NPI
1912206905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC005063)
Enumeration Date
2011-03-16
Last Update Date
2011-03-16
Business Address
Ms. MAGAN SLACK LPC
4282 MEMORIAL DR STE C
DECATUR, GA 30032-1218
Phone number: 770-778-4061
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Mailing Address
Ms. MAGAN SLACK LPC
4282 MEMORIAL DR STE C
DECATUR, GA 30032-1218
Phone number: 770-778-4061
Copy
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