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1104324664
DONATUS IKECHUKWU EZENNEKA
MARIETTA, GA
NPI
1104324664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101YP1600X Counselor, Pastoral
Enumeration Date
2018-01-30
Last Update Date
2024-09-03
Business Address
DONATUS IKECHUKWU EZENNEKA
2122 AUSTELL RD SW
MARIETTA, GA 30008-4151
Phone number: 762-233-4869
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Mailing Address
DONATUS IKECHUKWU EZENNEKA
2122 AUSTELL RD SW
MARIETTA, GA 30008-4151
Phone number: 857-260-8805
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