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1275958696
SHANE DAVIS
ATLANTA, GA
NPI
1275958696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY003134)
Enumeration Date
2014-02-21
Last Update Date
2014-02-21
Business Address
-- SHANE DAVIS PhD
1492 LIBERTY PKWY NW
ATLANTA, GA 30318-9381
Phone number: 404-444-9849
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Mailing Address
-- SHANE DAVIS PhD
1492 LIBERTY PKWY NW
ATLANTA, GA 30318-9381
Phone number: 404-444-9849
Copy
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