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1124244934
SHERRY L BLAKE
ATLANTA, GA
NPI
1124244934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY001267)
Enumeration Date
2007-04-18
Last Update Date
2008-07-01
Business Address
-- SHERRY L BLAKE phd
1897 GODBY RD
ATLANTA, GA 30349-5235
Phone number: 770-996-7622
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Mailing Address
-- SHERRY L BLAKE phd
1897 GODBY RD
ATLANTA, GA 30349-5235
Phone number: 770-996-7622
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