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1073844395
KEITH WILSON EDMONDS
EVANS, GA
NPI
1073844395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC004579)
Enumeration Date
2010-01-26
Last Update Date
2024-11-05
Business Address
Dr. KEITH WILSON EDMONDS Ed.D., LPC
1202 TOWN PARK LN STE 300
EVANS, GA 30809-3477
Phone number: 706-210-8855
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Mailing Address
Dr. KEITH WILSON EDMONDS Ed.D., LPC
1120 15TH ST STE BI1056
AUGUSTA, GA 30912-0004
Phone number: 706-721-3813
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