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Organization
MIRROR IMAGE GROUP, LLC
Active
Organization
MIRROR IMAGE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON RENE KAHN (PRESIDENT)
(404) 452-7752
Entity
Organization
Contact information
Practice address
285 S PERRY ST, LAWRENCEVILLE, GA 30046-4840
(404) 452-7752
Mailing address
285 S PERRY ST, LAWRENCEVILLE, GA 30046-4840
(404) 452-7752
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC000985
GA
Other
Enumeration date
05/18/2007
Last updated
02/10/2016
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