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1356618201
TIM FENNELL
CHAMBLEE, GA
NPI
1356618201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC009594)
Enumeration Date
2011-11-21
Last Update Date
2019-11-12
Business Address
Dr. TIM FENNELL PhD
3990 CLAIRMONT RD
CHAMBLEE, GA 30341-4938
Phone number: 407-595-0146
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Mailing Address
Dr. TIM FENNELL PhD
5703 RED BUG LAKE RD # 518
WINTER SPRINGS, FL 32708-4969
Phone number: 407-595-7006
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