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1083936769
MICHAEL BUCOVETSKY
SMYRNA, GA
NPI
1083936769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY003351)
Enumeration Date
2010-02-22
Last Update Date
2013-04-08
Business Address
Dr. MICHAEL BUCOVETSKY Psy.D.
4045 ORCHARD RD SE SUITE 110
SMYRNA, GA 30080-4902
Phone number: 770-293-1950
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Mailing Address
Dr. MICHAEL BUCOVETSKY Psy.D.
4045 ORCHARD RD SE SUITE 110
SMYRNA, GA 30080-4902
Phone number: 770-293-1950
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