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1538937941
MICHAEL RAINES THOMAS
CANTON, GA
NPI
1538937941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC013368)
Enumeration Date
2023-12-14
Last Update Date
2023-12-14
Business Address
MICHAEL RAINES THOMAS
300 DOGWOOD HTS
CANTON, GA 30114-7763
Phone number: 770-408-8877
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Mailing Address
MICHAEL RAINES THOMAS
3760 SIXES RD STE 126-249
CANTON, GA 30114-8192
Phone number: 770-408-8877
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