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Individual

MAHOGANY HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1692 DEER CROSSING PT, JONESBORO, GA 30236-8007
(770) 401-5224
Mailing address
1692 DEER CROSSING PT, JONESBORO, GA 30236-8007

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014240
GA

Other

Enumeration date
11/08/2023
Last updated
11/08/2023
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