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1700497955
CHARLES MARVELLE HARRIS
MACON, GA
NPI
1700497955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
CHARLES MARVELLE HARRIS
890 NORTHWOODS PLAZA
MACON, GA 31204
Phone number: 478-330-7164
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Mailing Address
CHARLES MARVELLE HARRIS
890 BURRUS RD
MACON, GA 31204-1441
Phone number: 478-330-7164
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