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1538693114
TIM BOUMAN
ROSWELL, GA
NPI
1538693114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 2991)
Enumeration Date
2017-04-20
Last Update Date
2017-04-20
Business Address
-- TIM BOUMAN LPC
11111 HOUZE RD SUITE 320
ROSWELL, GA 30076-5663
Phone number: 404-271-9009
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Mailing Address
-- TIM BOUMAN LPC
11111 HOUZE RD SUITE 320
ROSWELL, GA 30076-5663
Phone number: 404-271-9009
Copy
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