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1194367342
PETER RICHARD KLEIN
BRUNSWICK, GA
NPI
1194367342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA 1388)
Enumeration Date
2019-10-09
Last Update Date
2019-10-09
Business Address
Mr. PETER RICHARD KLEIN
1606 NORWICH ST
BRUNSWICK, GA 31520-6761
Phone number: 912-262-1039
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Mailing Address
Mr. PETER RICHARD KLEIN
1606 NORWICH ST
BRUNSWICK, GA 31520-6761
Phone number: 912-262-1039
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