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1174639207
MICHAEL JAMES CUDMORE
ROSWELL, GA
NPI
1174639207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC002559)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
-- MICHAEL JAMES CUDMORE LPC
11050 CRABAPPLE RD SUITE D 113-A
ROSWELL, GA 30075-2489
Phone number: 404-358-7520
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Mailing Address
-- MICHAEL JAMES CUDMORE LPC
2607 HAWTHORNE DR NE
ATLANTA, GA 30345-1327
Phone number: 404-358-7520
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