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1922165869
LYLE KEITH COALWELL
DOUGLASVILLE, GA
NPI
1922165869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC002580)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
Mr. LYLE KEITH COALWELL LPC
6488 SPRING ST SUITE 102
DOUGLASVILLE, GA 30134-1895
Phone number: 770-949-1595
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Mailing Address
Mr. LYLE KEITH COALWELL LPC
6488 SPRING ST SUITE 102
DOUGLASVILLE, GA 30134-1895
Phone number: 770-949-1595
Copy
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