RAJEIVE ANTWAN MANRADGH

LOGANVILLE, GA
NPI1700321320
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: GA  APC005768)
Enumeration Date2017-01-05
Last Update Date2017-01-05
Business Address
RAJEIVE ANTWAN MANRADGH LAPC, NCC
109 WHITE ROSE CT
LOGANVILLE, GA 30052-8644
Phone number: 678-697-4153
Mailing Address
RAJEIVE ANTWAN MANRADGH LAPC, NCC
109 WHITE ROSE CT
LOGANVILLE, GA 30052-8644
Phone number: 678-697-4153