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1356702757
KEVIN CARLIE
AUGUSTA, GA
NPI
1356702757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2016-03-11
Last Update Date
2016-03-11
Business Address
KEVIN CARLIE BA
3643 WALTON WAY EXT BUILDING 4
AUGUSTA, GA 30909-4507
Phone number: 706-364-1404
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Mailing Address
KEVIN CARLIE BA
3643 WALTON WAY EXT BUILDING 4
AUGUSTA, GA 30909-4507
Phone number: 706-364-1404
Copy
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