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1629624382
MIKE LATELLA
PEACHTREE CITY, GA
NPI
1629624382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: GA 1241)
Enumeration Date
2019-08-16
Last Update Date
2019-08-16
Business Address
MR. MIKE LATELLA CADC-II
111 PETROL PT STE A-3
PEACHTREE CITY, GA 30269-1550
Phone number: 678-568-9049
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Mailing Address
MR. MIKE LATELLA CADC-II
111 PETROL PT STE A-3
PEACHTREE CITY, GA 30269-1550
Phone number: 678-568-9049
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