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Organization
TRICORD HOPE LLC
Active
Organization
TRICORD HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM I BOLEN LPC (DIRECTOR)
(770) 658-9012
Entity
Organization
Contact information
Practice address
141 HIGHWAY 142, COVINGTON, GA 30014-4857
(770) 658-9012
Mailing address
2320 MOUNT ZION RD, OXFORD, GA 30054-2626
(770) 658-9012
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005921
GA
Other
Enumeration date
02/19/2018
Last updated
06/16/2018
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