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1134964562
JOHNNIE GORDON
DOUGLASVILLE, GA
NPI
1134964562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC009766)
Enumeration Date
2024-06-27
Last Update Date
2024-06-27
Business Address
JOHNNIE GORDON
8471 NEWMAN ST
DOUGLASVILLE, GA 30134-2420
Phone number: 678-386-1338
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Mailing Address
JOHNNIE GORDON
220 SUMMER CREEK DR
DALLAS, GA 30157-7653
Phone number:
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