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1376189431
MARK DAVID LAFOND
DOUGLASVILLE, GA
NPI
1376189431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-11-25
Last Update Date
2019-11-25
Business Address
Mr. MARK DAVID LAFOND
2109 FAIRBURN RD
DOUGLASVILLE, GA 30135-1037
Phone number: 770-726-7958
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Mailing Address
Mr. MARK DAVID LAFOND
2109 FAIRBURN RD
DOUGLASVILLE, GA 30135-1037
Phone number: 770-726-7958
Copy
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