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1215222690
DERRIS MITCHELL
DOUGLASVILLE, GA
NPI
1215222690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC004016)
Enumeration Date
2011-06-14
Last Update Date
2011-06-14
Business Address
-- DERRIS MITCHELL
8303 OFFICE PARK DRIVE SUITE B
DOUGLASVILLE, GA 30134
Phone number: 678-838-8333
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Mailing Address
-- DERRIS MITCHELL
4031 ROCKRIDGE CT
DOUGLASVILLE, GA 30135-7451
Phone number:
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