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1396092953
ANDRE MCDANIEL
COLLEGE PARK, GA
NPI
1396092953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA GA55492)
Enumeration Date
2012-08-13
Last Update Date
2012-08-13
Business Address
-- ANDRE MCDANIEL
5524 OLD NATIONAL HWY STE B
COLLEGE PARK, GA 30349-3212
Phone number: 404-763-8555
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Mailing Address
-- ANDRE MCDANIEL
4132 ATLANTA HWY STE 110-224
LOGANVILLE, GA 30052-4930
Phone number: 678-288-6550
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