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1992210900
BENJAMIN ADDISON
SMYRNA, GA
NPI
1992210900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW006161)
Enumeration Date
2017-12-13
Last Update Date
2017-12-13
Business Address
BENJAMIN ADDISON LCSW
3439 DUNN ST SE
SMYRNA, GA 30080-7928
Phone number: 404-583-7994
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Mailing Address
BENJAMIN ADDISON LCSW
3439 DUNN ST SE
SMYRNA, GA 30080-7928
Phone number: 404-583-7994
Copy
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