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1023797693
LANCE MADOW
ATLANTA, GA
NPI
1023797693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
LANCE MADOW
3495 PIEDMONT RD NE BUILDING 10, SUITE 100
ATLANTA, GA 30305
Phone number: 770-758-7817
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Mailing Address
LANCE MADOW
245 E TRINITY PL UNIT 1423
DECATUR, GA 30030-3493
Phone number: 727-916-2257
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