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1295148476
CLARENCE W MASSIE
ATLANTA, GA
NPI
1295148476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-06-05
Last Update Date
2014-06-05
Business Address
-- CLARENCE W MASSIE ICADC, CADC-II, PC
1414 MORELAND AVE SE
ATLANTA, GA 30316-3207
Phone number: 404-627-1774
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Mailing Address
-- CLARENCE W MASSIE ICADC, CADC-II, PC
1414 MORELAND AVE SE
ATLANTA, GA 30316-3207
Phone number: 404-627-1774
Copy
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