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Individual
MR. MICHAEL G. CARRICO
Active
Individual
MR. MICHAEL G. CARRICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC008491
GA
101YM0800X
Mental Health Counselor
MFT001412
GA
Other
Enumeration date
10/30/2012
Last updated
12/21/2016
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