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Organization
FIRST VICTORY BAPTIST CHURCH
Active
Organization
FIRST VICTORY BAPTIST CHURCH
Active
Other names
Mason's Boys and Girls World
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WINFREE (CHURCH ADMINISTRATOR)
(770) 969-4744
Entity
Organization
Contact information
Practice address
5461 STONEWALL TELL RD, COLLEGE PARK, GA 30349-2458
(770) 969-4744
Mailing address
PO BOX 839, RED OAK, GA 30272-0839
(770) 969-4744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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