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1700190816
GARY JAMES HEFFNER
AUGUSTA, GA
NPI
1700190816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 018042)
Enumeration Date
2010-07-30
Last Update Date
2010-07-30
Business Address
Mr. GARY JAMES HEFFNER M.A.
1 FREEDOM WAY UPTOWN DIVISION - ROOM 1E114
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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Mailing Address
Mr. GARY JAMES HEFFNER M.A.
1 FREEDOM WAY UPTOWN DIVISION - ROOM 1E114
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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