JASON WIREN

SUGAR HILL, GA
NPI1184862799
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2009-02-04
Last Update Date2009-02-04
Business Address
JASON WIREN CAC I
974 WINSLOW TER
SUGAR HILL, GA 30518-6320
Phone number: 404-234-9099
Mailing Address
JASON WIREN CAC I
974 WINSLOW TER
SUGAR HILL, GA 30518-6320
Phone number: 404-234-9099
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