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1043683766
OTIS BROOKS
MCDONOUGH, GA
NPI
1043683766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-11-03
Last Update Date
2015-11-03
Business Address
OTIS BROOKS
125 S ZACK HINTON PKWY
MCDONOUGH, GA 30253-3335
Phone number: 678-432-3330
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Mailing Address
OTIS BROOKS
125 S ZACK HINTON PKWY
MCDONOUGH, GA 30253-3335
Phone number: 678-432-3330
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