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1902957525
CHARLES MOYER MENDENHALL
DECATUR, GA
NPI
1902957525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA MFT000948)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
Dr. CHARLES MOYER MENDENHALL Ph.D.
1814 CLAIRMONT RD
DECATUR, GA 30033-3405
Phone number: 404-636-1457
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Mailing Address
Dr. CHARLES MOYER MENDENHALL Ph.D.
320 INMAN DR
DECATUR, GA 30030-3835
Phone number: 404-377-8256
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