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1003313461
JOHNNY LEE MITCHELL
LAWRENCEVILLE, GA
NPI
1003313461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA CSW006787)
Enumeration Date
2018-04-11
Last Update Date
2020-04-08
Business Address
JOHNNY LEE MITCHELL LCSW
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2411
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Mailing Address
JOHNNY LEE MITCHELL LCSW
2672 THOMPSON MILL RD
BUFORD, GA 30519-5461
Phone number: 814-521-6607
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