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1124374293
EDWARD A MODZELESKI
ALPHARETTA, GA
NPI
1124374293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-07-26
Last Update Date
2012-07-26
Business Address
-- EDWARD A MODZELESKI CACII, CCS
2750 OLD ALABAMA RD C/O THE SUMMIT COUNSELING
ALPHARETTA, GA 30022-8593
Phone number: 678-893-5300
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Mailing Address
-- EDWARD A MODZELESKI CACII, CCS
501 HARBOR LNDG
ROSWELL, GA 30076-3113
Phone number: 770-313-3653
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