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1588344212
KEVIN DE LA ESPADA
LAGRANGE, GA
NPI
1588344212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-07-18
Last Update Date
2023-07-18
Business Address
KEVIN DE LA ESPADA
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240-5754
Phone number: 706-845-4045
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Mailing Address
KEVIN DE LA ESPADA
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240-5754
Phone number: 706-845-4045
Copy
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