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1447431994
DAMIEN DIABLO KELLAM
MORROW, GA
NPI
1447431994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-11-26
Last Update Date
2013-04-01
Business Address
-- DAMIEN DIABLO KELLAM M.A., LPC, PhD ABD
2220 LAKE HARBIN RD
MORROW, GA 30260-1907
Phone number: 404-337-0305
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Mailing Address
-- DAMIEN DIABLO KELLAM M.A., LPC, PhD ABD
PO BOX 1871
STOCKBRIDGE, GA 30281-8871
Phone number: 404-337-0305
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