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1386011518
PATRICK HENDERSON
TUCKER, GA
NPI
1386011518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC008496)
Enumeration Date
2015-08-24
Last Update Date
2015-08-24
Business Address
-- PATRICK HENDERSON LPC,CRC
3547 HABERSHAM AT NORTHLAKE BUILDING F
TUCKER, GA 30084
Phone number: 404-556-2929
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Mailing Address
-- PATRICK HENDERSON LPC,CRC
3553 NORTH DRUID HILLS ROAD
DECATUR, GA 30033
Phone number: 404-556-2929
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