Provider Information for 1396224291
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GARRICK EMMANUEL LAWTON cmhc
Sex: Male
NPI: 1396224291
Last Updated: 2018-08-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1396224291 | ||||||||
| Enumeration Date | 2018-08-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2750 NORFAIR LOOP LITHONIA, GA 30038-1417 United States Phone: 678-234-8957 | Fax: | ||||||||
| Primary Practice Address | 270 CARPENTER DR STE 400 ATLANTA, GA 30328-4933 United States Phone: 678-460-0345 | Fax: | ||||||||
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