Individual
MR. BRANDON HAROLD PRINTUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C
Contact information
Practice address
1074 NORTH DECATUR RD, SUITE 145, DECATUR, GA 30030
(770) 918-6677
Mailing address
939 PORTER RD, DECATUR, GA 30032-1729
(404) 292-9510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004266
GA
Other
Enumeration date
02/16/2007
Last updated
10/22/2008
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