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1942873518
KELLIE ANISSA DIX
THOMASVILLE, GA
NPI
1942873518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC012322)
Enumeration Date
2021-07-21
Last Update Date
2021-07-21
Business Address
KELLIE ANISSA DIX
1102 SMITH AVE
THOMASVILLE, GA 31792-5739
Phone number: 229-227-5449
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Mailing Address
KELLIE ANISSA DIX
204 WILLIAMS ST
THOMASVILLE, GA 31792-6957
Phone number: 229-224-0269
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