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1497538292
LUIS E RUIZPEGUERO
LAWRENCEVILLE, GA
NPI
1497538292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW008698)
Enumeration Date
2023-08-15
Last Update Date
2023-10-19
Business Address
LUIS E RUIZPEGUERO LCSW
1251 FAIRFAX HUNT
LAWRENCEVILLE, GA 30043-4003
Phone number: 912-977-3941
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Mailing Address
LUIS E RUIZPEGUERO LCSW
1251 FAIRFAX HUNT
LAWRENCEVILLE, GA 30043-4003
Phone number: 912-977-3941
Copy
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