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Individual

WILLIE PARTEE MATHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
3320 LAKE VALLEY WAY, DOUGLASVILLE, GA 30135-8167
(770) 489-3805

Taxonomy

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

Other

Enumeration date
06/05/2007
Last updated
07/08/2007
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