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Individual

DAVID SMITH KAMUELYU JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC II

Contact information

Practice address
2855 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-3563
(770) 904-3955
Mailing address
1525 STATION CENTER BLVD, SUWANEE, GA 30024-8462
(763) 898-8539

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8180
GA

Other

Enumeration date
11/26/2021
Last updated
11/26/2021
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