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1568879138
ETHAN ENGELHARDT
MCDONOUGH, GA
NPI
1568879138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-07-16
Last Update Date
2014-07-16
Business Address
-- ETHAN ENGELHARDT MSW
125 S ZACK HINTON PKWY
MCDONOUGH, GA 30253-3335
Phone number: 678-432-3330
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Mailing Address
-- ETHAN ENGELHARDT MSW
125 SOUTH ZACH HINTON PKWY
MCDONOUGH, GA 30253
Phone number: 678-432-3330
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