ALLEX PROVENS

MARIETTA, GA
NPI1902632581
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2024-09-11
Last Update Date2024-09-11
Business Address
ALLEX PROVENS MA
1486 TERRELL MILL RD SE APT 622
MARIETTA, GA 30067-6151
Phone number: 225-400-3249
Mailing Address
ALLEX PROVENS MA
1486 TERRELL MILL RD SE APT 622
MARIETTA, GA 30067-6151
Phone number:
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