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1629595913
GARRY WAYNE CARRIKER
CANTON, GA
NPI
1629595913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2017-08-28
Last Update Date
2017-08-28
Business Address
GARRY WAYNE CARRIKER CADC-II
130 RIVERSTONE TER STE 101
CANTON, GA 30114-1702
Phone number: 404-669-6041
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Mailing Address
GARRY WAYNE CARRIKER CADC-II
2840 FRANKIE LN NE
MARIETTA, GA 30062-6622
Phone number:
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