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1730792169
LARKETTEI BURLEY
CALHOUN, GA
NPI
1730792169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-08-25
Last Update Date
2020-08-25
Business Address
LARKETTEI BURLEY CAC I
367 RICHARDSON RD SE
CALHOUN, GA 30701-3619
Phone number: 800-805-6989
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Mailing Address
LARKETTEI BURLEY CAC I
18 LOMBARDY WAY SE
ROME, GA 30161-6806
Phone number: 706-266-7324
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