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1073844395
KEITH WILSON EDMONDS
AUGUSTA, GA
NPI
1073844395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: GA LPC004579)
Enumeration Date
2010-01-26
Last Update Date
2021-05-06
Business Address
DR. KEITH WILSON EDMONDS ED.D., LPC
3604 WHEELER RD STE A1
AUGUSTA, GA 30909-6562
Phone number: 706-951-7644
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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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