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1265154751
LEROY CARSWELL
WOODSTOCK, GA
NPI
1265154751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA T0436)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
LEROY CARSWELL cadc t
270 HERITAGE WALK
WOODSTOCK, GA 30188-3875
Phone number: 678-494-5700
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Mailing Address
LEROY CARSWELL cadc t
270 HERITAGE WALK
WOODSTOCK, GA 30188-3875
Phone number: 678-494-5700
Copy
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