Provider Information for 1295991743
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Mrs. ALEXIS DAWN HILLING LPC
Other Names:Former Name:ALEXIS DAWN GALLOSex: Female
NPI: 1295991743
Last Updated: 2014-05-16
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1295991743 | ||||||||
| Enumeration Date | 2008-08-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5051 APPLE ORCHARD LN CANTON, GA 30115-8377 United States Phone: 678-938-9240 | Fax:678-938-9240 | ||||||||
| Primary Practice Address | 5051 APPLE ORCHARD LN CANTON, GA 30115-8377 United States Phone: 678-938-9240 | Fax:678-938-9240 | ||||||||
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