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1720690449
JOSE ANTONIO CORDERO
LAWRENCEVILLE, GA
NPI
1720690449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC007562)
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
JOSE ANTONIO CORDERO Ed.M., LAPC
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
JOSE ANTONIO CORDERO Ed.M., LAPC
215 NORTH AVE NE APT 4315
ATLANTA, GA 30308-2413
Phone number: 812-306-4986
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