BRANDON SUPAK

DULUTH, GA
NPI1598542102
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-09-08
Last Update Date2023-09-08
Business Address
BRANDON SUPAK
2760 PEACHTREE INDUSTRIAL BLVD STE C
DULUTH, GA 30097-2201
Phone number: 470-502-5637
Mailing Address
BRANDON SUPAK
2753 HOLLY RIDGE CIR
MARIETTA, GA 30062-4632
Phone number: 845-987-4458
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