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1396225298
SAMUEL RAY EVANS
ATHENS, GA
NPI
1396225298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC002604)
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
Mr. SAMUEL RAY EVANS LPC
1135 CEDAR SHOALS DR STE B
ATHENS, GA 30605-5299
Phone number: 706-549-5522
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Mailing Address
Mr. SAMUEL RAY EVANS LPC
365 CRESTWOOD DR
ATHENS, GA 30605-3913
Phone number: 706-549-5523
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