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1578017166
JEREMIAH GROGG
EVANS, GA
NPI
1578017166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC009114)
Enumeration Date
2016-08-11
Last Update Date
2022-07-21
Business Address
Mr. JEREMIAH GROGG MS, LPC
601 N BELAIR SQ STE 2
EVANS, GA 30809-0518
Phone number: 706-836-1195
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Mailing Address
Mr. JEREMIAH GROGG MS, LPC
601 N BELAIR SQ STE 2
EVANS, GA 30809
Phone number: 706-836-1195
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