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1932258084
WILLIAM CARL BACON
ATLANTA, GA
NPI
1932258084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA MFT000771)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
Dr. WILLIAM CARL BACON D.Min.
50 HURT PLZ SE SUITE 800
ATLANTA, GA 30303-2946
Phone number: 404-507-1063
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Mailing Address
Dr. WILLIAM CARL BACON D.Min.
189 CASTLEWOOD RD
TYRONE, GA 30290-2224
Phone number: 404-886-2603
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