Provider Information for 1689119216
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Mr. LARRY STEPHEN ADAMS Jr. LPC
Sex: Male
NPI: 1689119216
Last Updated: 2023-03-10
Certification Date: 2023-03-08
Certification Date: 2023-03-08
Details
| Name | Value | ||||||||||||
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| NPI | 1689119216 | ||||||||||||
| Enumeration Date | 2017-01-06 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 501 BROAD ST STE 306 ROME, GA 30161-3096 United States Phone: 678-235-5790 | Fax: | ||||||||||||
| Primary Practice Address | 501 BROAD ST STE 306 ROME, GA 30161-3096 United States Phone: 678-235-5790 | Fax: | ||||||||||||
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