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1053460659
ANDREW M GOTHARD
ATLANTA, GA
NPI
1053460659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY002146)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Dr. ANDREW M GOTHARD Psy.D.
2308 PERIMETER PARK DR SUITE 100
ATLANTA, GA 30341-1316
Phone number: 770-457-5577
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Mailing Address
Dr. ANDREW M GOTHARD Psy.D.
2308 PERIMETER PARK DR SUITE 100
ATLANTA, GA 30341-1316
Phone number: 770-457-5577
Copy
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