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1316546401
JOSEPH KEITH BREWTON
WOODSTOCK, GA
NPI
1316546401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA MFT001522)
Enumeration Date
2020-10-20
Last Update Date
2020-10-20
Business Address
JOSEPH KEITH BREWTON LMFT
210 CREEKSTONE RDG
WOODSTOCK, GA 30188-3732
Phone number: 770-278-9459
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Mailing Address
JOSEPH KEITH BREWTON LMFT
2116 YORKSHIRE CT
WOODSTOCK, GA 30189-5223
Phone number: 678-646-8547
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