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Individual
ANDREW KEVIN MANDERSON
Active
Individual
ANDREW KEVIN MANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1497373476
GA
103K00000X
Behavior Analyst
Primary
—
GA
Other
Enumeration date
07/07/2020
Last updated
03/06/2026
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