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Organization

JILL OSBORNE, LPC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY J OSBORNE EDS, LPC, CPCS, RPTS (LICENSED PROFESSIONAL COUNSELOR)
(404) 234-0546
Entity
Organization

Contact information

Practice address
1269 PARKER RD SE, CONYERS, GA 30094-5957
(404) 234-0546
Mailing address
1269 PARKER RD SE, CONYERS, GA 30094-5957
(404) 234-0546

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006170
GA

Other

Enumeration date
04/19/2017
Last updated
04/19/2017
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