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1639231251
KIRK N JAMGOTCHIAN
CARROLLTON, GA
NPI
1639231251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA ICADC 24574)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
-- KIRK N JAMGOTCHIAN ICADC
113 - B NEWNAN STREET
CARROLLTON, GA 30117
Phone number: 770-214-5066
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Mailing Address
-- KIRK N JAMGOTCHIAN ICADC
142 DEERFIELD LN
CARROLLTON, GA 30116-5010
Phone number: 770-838-1420
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