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1407381015
MATTHEW TAYLOR
STOCKBRIDGE, GA
NPI
1407381015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA CSW005944)
Enumeration Date
2017-04-21
Last Update Date
2017-04-21
Business Address
MATTHEW TAYLOR
1124 EVERGREEN WAY
STOCKBRIDGE, GA 30281-6237
Phone number: 678-468-6712
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Mailing Address
MATTHEW TAYLOR
1124 EVERGREEN WAY
STOCKBRIDGE, GA 30281-6237
Phone number: 678-468-6712
Copy
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