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1790233435
JERMAINE THOMPSON
MABLETON, GA
NPI
1790233435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-09-12
Last Update Date
2016-09-12
Business Address
-- JERMAINE THOMPSON
609 HUNNICUTT RD SE
MABLETON, GA 30126-4607
Phone number: 678-508-7408
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Mailing Address
-- JERMAINE THOMPSON
609 HUNNICUTT RD SE
MABLETON, GA 30126-4607
Phone number: 678-508-7408
Copy
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