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1023179116
STANLEY MICHAEL EUGENE ALLEN
NORCROSS, GA
NPI
1023179116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW000707)
Enumeration Date
2006-12-12
Last Update Date
2012-01-11
Business Address
Mr. STANLEY MICHAEL EUGENE ALLEN LCSW
1770 INDIAN TRAIL RD SUITE 200
NORCROSS, GA 30093-2645
Phone number: 770-923-9200
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Mailing Address
Mr. STANLEY MICHAEL EUGENE ALLEN LCSW
1499 KAY LN NE
ATLANTA, GA 30306-3111
Phone number: 404-219-5821
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