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Individual

CALVIN HARVEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6343
Mailing address
4305 GAVIRA CT, CUMMING, GA 30040-0456

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN232563
GA

Other

Enumeration date
03/08/2016
Last updated
03/08/2016
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