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1811242209
BRANDON COUSSENS
AUGUSTA, GA
NPI
1811242209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA MFT001247)
Enumeration Date
2012-07-21
Last Update Date
2021-05-25
Business Address
BRANDON COUSSENS
3540 WHEELER RD STE 109
AUGUSTA, GA 30909-1872
Phone number: 706-955-0230
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Mailing Address
BRANDON COUSSENS
3540 WHEELER RD STE 109
AUGUSTA, GA 30909-1872
Phone number: 706-955-0230
Copy
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