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1184441420
ALPHONSO MCKIBBINS
FAYETTEVILLE, GA
NPI
1184441420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA CSW009276)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
ALPHONSO MCKIBBINS
170 ATKINS LN
FAYETTEVILLE, GA 30215-8003
Phone number: 678-670-5180
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Mailing Address
ALPHONSO MCKIBBINS
170 ATKINS LN
FAYETTEVILLE, GA 30215-8003
Phone number: 678-670-5180
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