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1780198770
LEON EDWARD BRUNTY
ALBANY, GA
NPI
1780198770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA 770)
Enumeration Date
2017-11-29
Last Update Date
2017-11-29
Business Address
LEON EDWARD BRUNTY CADCII
2607 LEDO RD
ALBANY, GA 31707-1211
Phone number: 229-903-0022
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Mailing Address
LEON EDWARD BRUNTY CADCII
179 BRUNTY RD
TY TY, GA 31795-3601
Phone number: 218-393-9723
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