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Individual

MR. IVAN BARCLAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
4942 LARKSPUR LN, ATLANTA, GA 30349-3935
(678) 768-8502
Mailing address
4942 LARKSPUR LN, ATLANTA, GA 30349-3935
(678) 768-8502

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC004249
GA

Other

Enumeration date
01/27/2017
Last updated
06/03/2019
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