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Individual

MR. KENNETH MICHAEL LOUD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MS, CGC

Contact information

Practice address
2165 N DECATUR RD, DECATUR, GA 30033-5307
(404) 778-8553
(404) 778-8559
Mailing address
5218 MICHAELS WAY, WOODSTOCK, GA 30188-4675
(770) 592-7451

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/15/2005
Last updated
07/08/2007
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