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Individual

MARTIN MCQUILKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1988 LILBURN STONE MOUNTAIN RD, STONE MOUNTAIN, GA 30087-1722
(470) 554-6449
Mailing address
1988 LILBURN STONE MOUNTAIN RD, STONE MOUNTAIN, GA 30087-1722
(470) 554-6449

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008247
GA

Other

Enumeration date
04/27/2015
Last updated
04/27/2015
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