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MARY JO AYLLON M.A.

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1700108933

Individual Registrant:
 MARY JO AYLLON M.A.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1901 MOUNTAIN BROOK DR  DALTON, GA 30720-5928 US
Tel: 417-388-2963  Fax: --

Contact information for business:
1901 MOUNTAIN BROOK DR  DALTON, GA 30720-5928 US
Tel: 417-388-2963  Fax: --

Registration Information:
NPI: 1700108933
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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