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1093101982
DAVID LEE BREAULT
BAINBRIDGE, GA
NPI
1093101982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA 007527)
Enumeration Date
2015-04-08
Last Update Date
2015-04-08
Business Address
-- DAVID LEE BREAULT LPC
1005 S WASHINGTON ST
BAINBRIDGE, GA 39819-4465
Phone number: 229-248-2683
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Mailing Address
-- DAVID LEE BREAULT LPC
1005 S WASHINGTON ST
BAINBRIDGE, GA 39819-4465
Phone number: 229-248-2683
Copy
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