ANDREW PROVENCE

GRIFFIN, GA
NPI1114079159
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: GA  LPC003592)
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
Mr. ANDREW PROVENCE LPC
2000 W MCINTOSH RD
GRIFFIN, GA 30223-6265
Phone number: 678-688-3133
Mailing Address
Mr. ANDREW PROVENCE LPC
2000 W MCINTOSH RD
GRIFFIN, GA 30223-6265
Phone number: 678-688-3133
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