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1962512582
CHARLIE DEMETRIUS NORRIS
DECATUR, GA
NPI
1962512582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Mr. CHARLIE DEMETRIUS NORRIS
ATLANTA VETERANS ADMINISTRATION MEDICAL CENTER 1670 CLAIRMONT ROAD
DECATUR, GA 30033
Phone number: 404-321-6111
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Mailing Address
Mr. CHARLIE DEMETRIUS NORRIS
5888 RONNIE DR
REX, GA 30273-1060
Phone number: 937-241-3162
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