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1952786204
TRACIE PORTER
COLUMBUS, GA
NPI
1952786204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC008277)
Enumeration Date
2015-07-29
Last Update Date
2021-11-19
Business Address
TRACIE PORTER LPC
15 W 10TH ST
COLUMBUS, GA 31901-2744
Phone number: 706-478-7708
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Mailing Address
TRACIE PORTER LPC
15 W 10TH ST
COLUMBUS, GA 31901-2744
Phone number: 706-478-7708
Copy
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