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1912629221
LATESHA MACHELL DIXON
MACON, GA
NPI
1912629221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC012971)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
Ms. LATESHA MACHELL DIXON LPC
664 IVY BROOK WAY
MACON, GA 31210-5520
Phone number: 478-335-6838
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Mailing Address
Ms. LATESHA MACHELL DIXON LPC
664 IVY BROOK WAY
MACON, GA 31210-5520
Phone number: 478-335-6838
Copy
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