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Individual

GORGEOUS WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APC, NCC

Contact information

Practice address
11664 BRIGHTSIDE PKWY, HAMPTON, GA 30228-3095
(404) 312-5577
Mailing address
3160 MAIN ST STE 102, DULUTH, GA 30096-3461

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012692
GA

Other

Enumeration date
03/05/2019
Last updated
01/16/2025
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