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1124490321
THADDEUS DAVIS
MARIETTA, GA
NPI
1124490321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-27
Last Update Date
2015-10-27
Business Address
-- THADDEUS DAVIS
1236 SEDGEFIELD RD
MARIETTA, GA 30062-2350
Phone number: 678-768-4818
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Mailing Address
-- THADDEUS DAVIS
1236 SEDGEFIELD RD
MARIETTA, GA 30062-2350
Phone number:
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