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1891362877
SUPPORTIVE CARE OF GEORGIA LLC
ROSWELL, GA
NPI
1891362877
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Entity Type
Organization
Authorized Contact
RAPHAEL LICHTSCHEIN
President
718-298-4375
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2021-06-08
Last Update Date
2021-06-08
Business Address
SUPPORTIVE CARE OF GEORGIA LLC
300 COLONIAL CENTER PKWY STE 100N
ROSWELL, GA 30076-4892
Phone number: 718-298-4375
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Mailing Address
SUPPORTIVE CARE OF GEORGIA LLC
27 RANDOLPH RD
HOWELL, NJ 07731-8611
Phone number: 718-298-4375
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