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1104984103
JOHN AZAR-DICKENS
ROME, GA
NPI
1104984103
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Former Name
JOHN DICKENS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA 2459)
Enumeration Date
2006-12-04
Last Update Date
2007-07-09
Business Address
Dr. JOHN AZAR-DICKENS Ph.D.
106 E 5TH AVE
ROME, GA 30161-3128
Phone number: 706-232-6743
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Mailing Address
Dr. JOHN AZAR-DICKENS Ph.D.
PO BOX 6206
ROME, GA 30162-6206
Phone number: 706-232-6743
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