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1376692061
JACK HOLLAND GRISHAM
MARIETTA, GA
NPI
1376692061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: GA 000669)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Dr. JACK HOLLAND GRISHAM PH.D.
122 CHERRY ST NE
MARIETTA, GA 30060-7206
Phone number: 770-427-2911
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Mailing Address
Dr. JACK HOLLAND GRISHAM PH.D.
122 CHERRY ST NE
MARIETTA, GA 30060-7206
Phone number: 770-427-2911
Copy
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