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1104459932
JOHNNY ROGER TERRY
HINESVILLE, GA
NPI
1104459932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: GA MSW001177)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-02-20
Last Update Date
2023-07-25
Business Address
JOHNNY ROGER TERRY
115 W OGLETHORPE HWY
HINESVILLE, GA 31313
Phone number: 912-334-0524
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Mailing Address
JOHNNY ROGER TERRY
PO BOX 1084
GLENNVILLE, GA 30427-1084
Phone number: 912-334-0524
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