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Individual

MRS. JUDY LYNNE HOLLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3950 COBB PKWY NW STE 604, ACWORTH, GA 30101-9530
(404) 550-8951
Mailing address
3950 COBB PKWY NW STE 604, ACWORTH, GA 30101-9530
(404) 550-8951

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006519
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC006519
LPC
GA
Enumeration date
01/13/2022
Last updated
01/13/2022
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