DONTE RANDALL

DULUTH, GA
NPI1588354732
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA  0590)
Enumeration Date2023-05-11
Last Update Date2023-05-11
Business Address
DONTE RANDALL CADCII
640 OAKMONT HL
DULUTH, GA 30097-5744
Phone number: 678-488-9562
Mailing Address
DONTE RANDALL CADCII
640 OAKMONT HL
DULUTH, GA 30097-5744
Phone number: 678-488-9562
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