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1780817387
THEODORE H CECCOLI
CARROLLTON, GA
NPI
1780817387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC005686)
Enumeration Date
2009-08-29
Last Update Date
2009-08-29
Business Address
Mr. THEODORE H CECCOLI LPC
415 DIXIE ST
CARROLLTON, GA 30117-3921
Phone number: 770-838-9806
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Mailing Address
Mr. THEODORE H CECCOLI LPC
8014 LONGLEAF DR
VILLA RICA, GA 30180-8666
Phone number: 770-838-9806
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