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1962646927
LAKLIESHIA MONIQUE IZZARD
DECATUR, GA
NPI
1962646927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC006858)
Enumeration Date
2009-04-21
Last Update Date
2012-09-10
Business Address
Ms. LAKLIESHIA MONIQUE IZZARD LPC
4319 COVINGTON HWY
DECATUR, GA 30035-1210
Phone number: 404-284-6505
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Mailing Address
Ms. LAKLIESHIA MONIQUE IZZARD LPC
PO BOX 33082
DECATUR, GA 30033-0082
Phone number: 678-683-8194
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