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Individual

JUSTIN PAULUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3754 LAVISTA RD, TUCKER, GA 30084-5626
(740) 479-1479
Mailing address
1593 BRYNWOOD CT NW, ACWORTH, GA 30101-4584
(174) 047-9147

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/27/2022
Last updated
05/27/2022
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