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1184862799
JASON WIREN
SUGAR HILL, GA
NPI
1184862799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-02-04
Last Update Date
2009-02-04
Business Address
-- JASON WIREN CAC I
974 WINSLOW TER
SUGAR HILL, GA 30518-6320
Phone number: 404-234-9099
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Mailing Address
-- JASON WIREN CAC I
974 WINSLOW TER
SUGAR HILL, GA 30518-6320
Phone number: 404-234-9099
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