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1235809690
JEREMY HALLOCK
MARIETTA, GA
NPI
1235809690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC008004)
Enumeration Date
2021-09-16
Last Update Date
2021-09-16
Business Address
JEREMY HALLOCK
2850 JOHNSON FERRY RD STE 200250
MARIETTA, GA 30062-5684
Phone number: 678-691-8130
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Mailing Address
JEREMY HALLOCK
2850 JOHNSON FERRY RD STE 200250
MARIETTA, GA 30062-5684
Phone number:
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