JOHN AZAR-DICKENS

ROME, GA
NPI1104984103
Former NameJOHN DICKENS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: GA  2459)
Enumeration Date2006-12-04
Last Update Date2007-07-09
Business Address
Dr. JOHN AZAR-DICKENS Ph.D.
106 E 5TH AVE
ROME, GA 30161-3128
Phone number: 706-232-6743
Mailing Address
Dr. JOHN AZAR-DICKENS Ph.D.
PO BOX 6206
ROME, GA 30162-6206
Phone number: 706-232-6743