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1336806207
DAVID SMITH KAMUELYU
SUWANEE, GA
NPI
1336806207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: GA 8180)
Enumeration Date
2021-11-26
Last Update Date
2021-11-26
Business Address
DAVID SMITH KAMUELYU CADC II
2855 LAWRENCEVILLE SUWANEE RD
SUWANEE, GA 30024-3563
Phone number: 770-904-3955
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Mailing Address
DAVID SMITH KAMUELYU CADC II
1525 STATION CENTER BLVD
SUWANEE, GA 30024-8462
Phone number: 763-898-8539
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