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1477275881
AUSTON MALIK LONDON
WOODSTOCK, GA
NPI
1477275881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA T0437)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
AUSTON MALIK LONDON CADC-T
270 HERITAGE WALK
WOODSTOCK, GA 30188-3875
Phone number: 678-494-5700
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Mailing Address
AUSTON MALIK LONDON CADC-T
270 HERITAGE WALK
WOODSTOCK, GA 30188-3875
Phone number: 678-494-5700
Copy
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