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1700130622
PHILIP S. MITCHELL
ACWORTH, GA
NPI
1700130622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-30
Last Update Date
2015-11-06
Business Address
Mr. PHILIP S. MITCHELL LAPC
5345 CROSSROADS DRIVE
ACWORTH, GA 30102-2536
Phone number: 678-391-5950
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Mailing Address
Mr. PHILIP S. MITCHELL LAPC
P.O. BOX 2699
WOODSTOCK, GA 30188-1384
Phone number: 678-391-5950
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