AUNTERYO MALCOM

ATLANTA, GA
NPI1215532353
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  0011786)
Enumeration Date2020-12-04
Last Update Date2020-12-04
Business Address
AUNTERYO MALCOM LPC
1903 PHOENIX BLVD
ATLANTA, GA 30349-5754
Phone number: 678-335-9010
Mailing Address
AUNTERYO MALCOM LPC
1903 PHOENIX BLVD
ATLANTA, GA 30349-5754
Phone number: 678-335-9010