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1215532353
AUNTERYO MALCOM
ATLANTA, GA
NPI
1215532353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA 0011786)
Enumeration Date
2020-12-04
Last Update Date
2020-12-04
Business Address
AUNTERYO MALCOM LPC
1903 PHOENIX BLVD
ATLANTA, GA 30349-5754
Phone number: 678-335-9010
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Mailing Address
AUNTERYO MALCOM LPC
1903 PHOENIX BLVD
ATLANTA, GA 30349-5754
Phone number: 678-335-9010
Copy
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