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1346532843
MICHAEL D FOUNTAIN
ATLANTA, GA
NPI
1346532843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 0002892)
Enumeration Date
2011-05-03
Last Update Date
2011-05-03
Business Address
-- MICHAEL D FOUNTAIN MA, NCC, LAPC
1870 ROBLE DRIVE
ATLANTA, GA 30349-9117
Phone number: 678-235-4939
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Mailing Address
-- MICHAEL D FOUNTAIN MA, NCC, LAPC
PO BOX 491117
ATLANTA, GA 30349-9117
Phone number: 678-235-4939
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