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1881031102
PERRY MALCOLM
ATHENS, GA
NPI
1881031102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW002504)
Enumeration Date
2013-05-28
Last Update Date
2015-01-23
Business Address
-- PERRY MALCOLM LCSW
250 NORTH AVE
ATHENS, GA 30601-2244
Phone number: 706-389-6789
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Mailing Address
-- PERRY MALCOLM LCSW
250 NORTH AVE
ATHENS, GA 30601-2244
Phone number: 706-389-6789
Copy
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