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1427246164
MATTHEW CAUDILL
LAWRENCEVILLE, GA
NPI
1427246164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA CSW003821)
Enumeration Date
2007-10-09
Last Update Date
2012-05-12
Business Address
Mr. MATTHEW CAUDILL LCSW
250 SCENIC HWY
LAWRENCEVILLE, GA 30046-5675
Phone number: 678-442-5857
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Mailing Address
Mr. MATTHEW CAUDILL LCSW
521 FAIRWAY DR
WOODSTOCK, GA 30189-6195
Phone number: 770-362-3077
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