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Individual

DR. PAULETTE M BETHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA LMFT, LPC

Contact information

Practice address
285 S PERRY ST, LAWRENCEVILLE, GA 30046-4840
(770) 733-8505
Mailing address
770 WINSTON DR, LAWRENCEVILLE, GA 30044-5787
(770) 674-2770

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
14673
TX
106H00000X
Marriage & Family Therapist
Primary
4951
TX

Other

Enumeration date
09/06/2012
Last updated
09/06/2012
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