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1225801939
TIMOTHY IRVING
ATLANTA, GA
NPI
1225801939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC012828)
Enumeration Date
2023-11-03
Last Update Date
2023-11-03
Business Address
TIMOTHY IRVING
2110 GARDEN PL
ATLANTA, GA 30316-2948
Phone number: 404-436-0730
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Mailing Address
TIMOTHY IRVING
2110 GARDEN PL
ATLANTA, GA 30316-2948
Phone number: 404-545-7202
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