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1396263588
MICHAEL THOMAS BERGQUIST
GRAYSON, GA
NPI
1396263588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC008976)
Enumeration Date
2017-09-07
Last Update Date
2017-09-07
Business Address
MICHAEL THOMAS BERGQUIST LPC
1637 ATHENS HWY
GRAYSON, GA 30017-1768
Phone number: 678-344-8268
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Mailing Address
MICHAEL THOMAS BERGQUIST LPC
1637 ATHENS HWY
GRAYSON, GA 30017-1768
Phone number: 678-344-8268
Copy
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