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1295807790
LISA G FERDINAND
DECATUR, GA
NPI
1295807790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY002932)
Enumeration Date
2006-11-14
Last Update Date
2007-07-08
Business Address
-- LISA G FERDINAND PHD
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
-- LISA G FERDINAND PHD
608 SUMMIT POINTE WAY NE
ATLANTA, GA 30329-4060
Phone number: 404-315-8277
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