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1700185279
THOMAS M JARVIS
MACON, GA
NPI
1700185279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC006081)
Enumeration Date
2011-03-22
Last Update Date
2011-03-22
Business Address
-- THOMAS M JARVIS Ed.D.
789 FOREST LAKE DR S
MACON, GA 31210-3237
Phone number: 478-477-5818
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Mailing Address
-- THOMAS M JARVIS Ed.D.
789 FOREST LAKE DR S
MACON, GA 31210-3237
Phone number:
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