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1912677535
VENETIA T JORDAN
LOGANVILLE, GA
NPI
1912677535
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Former Name
VENETIA T WILSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC012422)
Enumeration Date
2021-09-15
Last Update Date
2021-09-15
Business Address
VENETIA T JORDAN MS, NCC, LPC
678 TOM BREWER RD
LOGANVILLE, GA 30052-4005
Phone number: 770-554-3599
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Mailing Address
VENETIA T JORDAN MS, NCC, LPC
3438 FANNIN DR
LITHONIA, GA 30038-2829
Phone number: 678-756-7497
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