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1124080395
GARY SANTAVICCA
ATLANTA, GA
NPI
1124080395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA 1224)
Enumeration Date
2006-04-04
Last Update Date
2007-07-08
Business Address
-- GARY SANTAVICCA PhD
340 BLVD NE STE 640
ATLANTA, GA 30312
Phone number: 404-653-1117
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Mailing Address
-- GARY SANTAVICCA PhD
340 BLVD NE STE 640
ATLANTA, GA 30312
Phone number: 404-653-1117
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