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1699262766
FREDERICK D BROCKINGTON
DECATUR, GA
NPI
1699262766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA APC006305)
Enumeration Date
2018-04-15
Last Update Date
2018-04-15
Business Address
FREDERICK D BROCKINGTON LAPC
235 E PONCE DE LEON AVE STE 103
DECATUR, GA 30030-3412
Phone number: 678-753-5248
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Mailing Address
FREDERICK D BROCKINGTON LAPC
235 E PONCE DE LEON AVE STE 103
DECATUR, GA 30030-3412
Phone number: 678-753-5248
Copy
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