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1174185763
ANASTACIA A. NICHOLS
ATLANTA, GA
NPI
1174185763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: GA PSY004308)
Enumeration Date
2019-07-03
Last Update Date
2019-08-05
Business Address
Dr. ANASTACIA A. NICHOLS PsyD
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329-2206
Phone number: 404-712-5667
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Mailing Address
Dr. ANASTACIA A. NICHOLS PsyD
1441 CLIFTON RD NE STE 170
ATLANTA, GA 30322-1004
Phone number:
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