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Organization

A.G. AIKEN CONSULTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTWAN GILBERT AIKEN LMSW, MPA (OWNER/FOUNDER)
(404) 964-6147
Entity
Organization

Contact information

Practice address
1045 REUNION PL SW, ATLANTA, GA 30331-6350
(404) 964-6147
Mailing address
1045 REUNION PL SW, ATLANTA, GA 30331-6350
(404) 964-6147

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6167
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10449
LMSW
SC
01
6167
LMSW
GA
Enumeration date
08/14/2014
Last updated
01/26/2015
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