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1215521414
TAYLOR HENRY
LAWRENCEVILLE, GA
NPI
1215521414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW006877)
Enumeration Date
2021-02-27
Last Update Date
2022-01-11
Business Address
TAYLOR HENRY
2981 LORELI LN
LAWRENCEVILLE, GA 30044-7211
Phone number: 404-772-6689
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Mailing Address
TAYLOR HENRY
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6965
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