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1417355165
MICHAEL HEADLEY
ATLANTA, GA
NPI
1417355165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-12-11
Last Update Date
2014-12-11
Business Address
-- MICHAEL HEADLEY
1195 MILTON TER SE APT 1303
ATLANTA, GA 30315-2426
Phone number: 336-655-5370
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Mailing Address
-- MICHAEL HEADLEY
1195 MILTON TER SE APT 1303
ATLANTA, GA 30315-2426
Phone number: 336-655-5370
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