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1396194163
PROVIDENCE COUNSELING SERVICES LLC
KENNESAW, GA
NPI
1396194163
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Entity Type
Organization
Authorized Contact
JOSEPH MULLIGAN
Owner
808-248-5153
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2016-06-12
Last Update Date
2016-06-12
Business Address
PROVIDENCE COUNSELING SERVICES LLC
1301 SHILOH RD NW STE 840
KENNESAW, GA 30144-7147
Phone number: 678-942-1115
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Mailing Address
PROVIDENCE COUNSELING SERVICES LLC
3626 STEINHAUER RD NE
MARIETTA, GA 30066-4755
Phone number: 678-248-5153
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