DAKTOA JACK FIDRAM

ATLANTA, GA
NPI1518599729
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  APC007221)
Enumeration Date2020-02-05
Last Update Date2020-02-05
Business Address
DAKTOA JACK FIDRAM APC
2302 PARKLAKE DR NE STE 425
ATLANTA, GA 30345-2896
Phone number: 678-400-4441
Mailing Address
DAKTOA JACK FIDRAM APC
2302 PARKLAKE DR NE STE 425
ATLANTA, GA 30345-2896
Phone number: 678-400-4441
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