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1336801109
JOHN NEWSOME
DOUGLASVILLE, GA
NPI
1336801109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC012333)
Enumeration Date
2021-10-09
Last Update Date
2021-10-09
Business Address
Mr. JOHN NEWSOME
4471 GLIDER CIR
DOUGLASVILLE, GA 30135-8722
Phone number: 770-873-4840
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Mailing Address
Mr. JOHN NEWSOME
4471 GLIDER CIR
DOUGLASVILLE, GA 30135-8722
Phone number: 770-873-4840
Copy
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