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1457401929
TOMMY DEAN BLACK
HINESVILLE, GA
NPI
1457401929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC003476)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Mr. TOMMY DEAN BLACK EdS, LPC
215 E COURT ST
HINESVILLE, GA 31313-3606
Phone number: 912-876-4010
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Mailing Address
Mr. TOMMY DEAN BLACK EdS, LPC
215 E COURT ST
HINESVILLE, GA 31313-3606
Phone number: 912-876-4010
Copy
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