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450 Old Peachtree Road Suite 101 Suwanee GA 30042 | |
(770) 895-6043 | |
Not Available |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 450 Old Peachtree Road, Suwanee, Georgia |
Authorized Official Name and Position | Victoria Kennedy Paul-edouard (CEO) |
Authorized Official Contact | 5163032644 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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450 Old Peachtree Road Suite 101 Suwanee GA 30042 Ph: (770) 895-6043 | 450 Old Peachtree Road Suite 101 Suwanee GA 30042 Ph: (770) 895-6043 |
NPI Number | 1255594974 |
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Provider Enumeration Date | 07/02/2008 |
Last Update Date | 07/02/2008 |
Identifier | Type | State | Issuer |
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1255594974 | NPI | - | NPPES |
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