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1821219411
DANIEL RUSSELL MILLS
MACON, GA
NPI
1821219411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA 000318)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Mr. DANIEL RUSSELL MILLS LMSW
3419 RIDGE AVE.
MACON, GA 31204
Phone number: 478-955-7729
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Mailing Address
Mr. DANIEL RUSSELL MILLS LMSW
3419 RIDGE AVE.
MACON, GA 31204
Phone number: 478-955-7729
Copy
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