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Individual

AYOOLA FADEYI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1446 BELLSMITH DR, ROSWELL, GA 30076-0921
(917) 445-2420
Mailing address
1446 BELLSMITH DR, ROSWELL, GA 30076-0921
(917) 445-2420

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
34147
GA
347C00000X
Private Vehicle
055852853
GA

Other

Enumeration date
08/16/2016
Last updated
11/05/2024
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