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1982809331
KENNETH ANDREW HARRELL
MACON, GA
NPI
1982809331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW003458)
Enumeration Date
2007-06-17
Last Update Date
2007-07-08
Business Address
-- KENNETH ANDREW HARRELL LCSW
117 PARKWOOD AVE
MACON, GA 31210-5018
Phone number: 478-477-2220
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Mailing Address
-- KENNETH ANDREW HARRELL LCSW
114 PEACHTREE BLVD
BONAIRE, GA 31005-4040
Phone number: 478-218-4646
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