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Individual

LARIA GEMAE MAHONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAPC

Contact information

Practice address
523 DIXIE ST, CARROLLTON, GA 30117-3870
(678) 877-1434
(770) 456-3955
Mailing address
523 DIXIE ST, CARROLLTON, GA 30117-3870
(678) 877-1434
(770) 456-3955

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC002172
GA

Other

Enumeration date
02/01/2010
Last updated
02/01/2010
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