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1689453631
IVAN EDWIN ESTRADA
ATLANTA, GA
NPI
1689453631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-09-27
Last Update Date
2023-09-27
Business Address
Mr. IVAN EDWIN ESTRADA MS
2295 PARKLAKE DR NE STE 558
ATLANTA, GA 30345-2951
Phone number: 678-360-3297
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Mailing Address
Mr. IVAN EDWIN ESTRADA MS
194 MAYS RD
STOCKBRIDGE, GA 30281-2529
Phone number: 678-360-3297
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