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Individual

MR. ALFRED BALL CARTER IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
1815 OLD 41 HWY NW, SUITE 110, KENNESAW, GA 30152-4420
(678) 468-9103
Mailing address
2618 MARLEIGH FARM RD NW, KENNESAW, GA 30152-6520
(404) 895-9984

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005248
GA
101YP2500X
Professional Counselor
005264
GA

Other

Enumeration date
12/01/2006
Last updated
09/14/2015
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