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1982801304
LISA MOONEY
CLAYTON, GA
NPI
1982801304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
-- LISA MOONEY
48 TAYLOR VALLEY RD
CLAYTON, GA 30525-5815
Phone number: 706-490-2667
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Mailing Address
-- LISA MOONEY
PO BOX 458
TIGER, GA 30576-0458
Phone number: 706-490-2667
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