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1164728879
JASON WHITE
LAWRENCEVILLE, GA
NPI
1164728879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-01-28
Last Update Date
2011-01-28
Business Address
-- JASON WHITE
595 OLD NORCROSS RD SUITE B
LAWRENCEVILLE, GA 30046-3327
Phone number: 770-995-6901
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Mailing Address
-- JASON WHITE
595 OLD NORCROSS RD SUITE B
LAWRENCEVILLE, GA 30046-3327
Phone number:
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