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Individual

CONREDGE COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5680 FULTON INDUSTRIAL BLVD NW, ATLANTA, GA 30336
(404) 346-3471
Mailing address
2318 GREENSIDE DR, AUSTELL, GA 30106-8248

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
GA

Other

Enumeration date
08/01/2024
Last updated
08/01/2024
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