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1972114643
JEREMY DANIEL SHAIN
CARROLLTON, GA
NPI
1972114643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2020-08-14
Last Update Date
2020-08-14
Business Address
JEREMY DANIEL SHAIN LPC
101 MYRTLE ST
CARROLLTON, GA 30117-2212
Phone number: 404-512-4030
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Mailing Address
JEREMY DANIEL SHAIN LPC
101 MYRTLE ST
CARROLLTON, GA 30117-2212
Phone number: 404-512-4030
Copy
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