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1356722086
BETHANY HANSEN
ATLANTA, GA
NPI
1356722086
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Former Name
BETHANY ANN JORDAHL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: GA PSY003900)
Enumeration Date
2015-06-18
Last Update Date
2015-06-18
Business Address
-- BETHANY HANSEN
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329-4010
Phone number: 404-785-9498
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Mailing Address
-- BETHANY HANSEN
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329-4010
Phone number: 404-785-9498
Copy
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