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1548699515
JASON GABRIEL
KENNESAW, GA
NPI
1548699515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC004119)
Enumeration Date
2013-11-11
Last Update Date
2013-11-11
Business Address
-- JASON GABRIEL LAPC
1815 OLD 41 HWY NW 110
KENNESAW, GA 30152-4420
Phone number: 678-468-9103
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Mailing Address
-- JASON GABRIEL LAPC
1815 OLD 41 HWY NW 110
KENNESAW, GA 30152-4420
Phone number: 678-468-9103
Copy
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