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1457566044
HERBERT M ELLIOTT
DECATUR, GA
NPI
1457566044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-14
Last Update Date
2009-09-22
Business Address
-- HERBERT M ELLIOTT
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
-- HERBERT M ELLIOTT
1632 DUREN FIELD WAY
LITHONIA, GA 30058
Phone number: 404-321-6111
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