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1386305621
AMIR BERNARD LANE
LAWRENCEVILLE, GA
NPI
1386305621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA 058575940)
Enumeration Date
2022-01-08
Last Update Date
2022-01-08
Business Address
AMIR BERNARD LANE
810 EAGLE COVE WAY
LAWRENCEVILLE, GA 30044-5843
Phone number: 678-975-5539
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Mailing Address
AMIR BERNARD LANE
810 EAGLE COVE WAY
LAWRENCEVILLE, GA 30044-5843
Phone number: 678-975-5539
Copy
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