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1659769875
ANTUAN SHORTER
MCDONOUGH, GA
NPI
1659769875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-12-23
Last Update Date
2014-12-23
Business Address
-- ANTUAN SHORTER
125 S ZACK HINTON PKWY
MCDONOUGH, GA 30253-3335
Phone number: 404-931-4127
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Mailing Address
-- ANTUAN SHORTER
565 PEACHTREE ST NE # 30308
ATLANTA, GA 30308-2230
Phone number:
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