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1891368056
ROBERT BICKNELL CLARK
ATLANTA, GA
NPI
1891368056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA 0689)
Enumeration Date
2021-07-23
Last Update Date
2021-07-23
Business Address
Mr. ROBERT BICKNELL CLARK CADC-1
4200 NORTHSIDE PKWY NW BLDG 7
ATLANTA, GA 30327-3007
Phone number: 404-793-6349
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Mailing Address
Mr. ROBERT BICKNELL CLARK CADC-1
4200 NORTHSIDE PKWY NW BLDG 7
ATLANTA, GA 30327-3007
Phone number: 404-793-6349
Copy
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