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1184010241
BRANDEIS GREEN
DECATUR, GA
NPI
1184010241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA 003857)
Enumeration Date
2015-04-15
Last Update Date
2015-04-15
Business Address
-- BRANDEIS GREEN PhD
250 N ARCADIA AVE
DECATUR, GA 30030-2115
Phone number: 404-321-6111
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Mailing Address
-- BRANDEIS GREEN PhD
250 N ARCADIA AVE
DECATUR, GA 30030-2115
Phone number: 404-321-6111
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