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1609445097
TIMOTHY JAMES WHAILEN
HIRAM, GA
NPI
1609445097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW007682)
Enumeration Date
2021-06-21
Last Update Date
2021-07-27
Business Address
TIMOTHY JAMES WHAILEN LCSW
107 ENTERPRISE PATH STE 301
HIRAM, GA 30141-2690
Phone number: 706-509-0130
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Mailing Address
TIMOTHY JAMES WHAILEN LCSW
9085 CLARK RD
FAIRBURN, GA 30213-1929
Phone number: 404-480-3731
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