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1215373485
JACK UNDERWOOD
ATLANTA, GA
NPI
1215373485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC007057)
Enumeration Date
2013-05-15
Last Update Date
2013-05-15
Business Address
-- JACK UNDERWOOD MS, NCC, LPC
3108 PIEDMONT RD NE
ATLANTA, GA 30305-2513
Phone number: 404-421-5341
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Mailing Address
-- JACK UNDERWOOD MS, NCC, LPC
892 ARLINGTON DR
TUCKER, GA 30084-1567
Phone number: 404-421-5341
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