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1083287742
AUSTIN THOMAS SHIVELY
AUGUSTA, GA
NPI
1083287742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: GA APC008650)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2021-07-21
Last Update Date
2022-09-26
Business Address
AUSTIN THOMAS SHIVELY LAPC
3633 WHEELER RD STE 365
AUGUSTA, GA 30909-6549
Phone number: 706-432-6866
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Mailing Address
AUSTIN THOMAS SHIVELY LAPC
3633 WHEELER RD STE 365
AUGUSTA, GA 30909-6549
Phone number: 706-432-6866
Copy
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