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1033970231
KYLE SUSSENBACH
TUCKER, GA
NPI
1033970231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA MFT001893)
Enumeration Date
2024-01-16
Last Update Date
2024-01-16
Business Address
KYLE SUSSENBACH
565 MARIBEE DR
TUCKER, GA 30084-1714
Phone number: 678-534-3824
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Mailing Address
KYLE SUSSENBACH
565 MARIBEE DR
TUCKER, GA 30084-1714
Phone number:
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