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1487105037
RICHARD TATUM
LAWRENCEVILLE, GA
NPI
1487105037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 048149)
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
-- RICHARD TATUM
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
-- RICHARD TATUM
226 OVEROOK PARK LN
LAWRENCEVILLE, GA 30043
Phone number: 770-549-5118
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