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1053132761
TANISHA CLARK
ATLANTA, GA
NPI
1053132761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2024-10-24
Last Update Date
2024-10-24
Business Address
TANISHA CLARK PhD
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329-4010
Phone number: 404-785-9400
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Mailing Address
TANISHA CLARK PhD
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329-4010
Phone number: 404-785-9400
Copy
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