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1457388019
JACKSON PATTEN RAINER
BROOKHAVEN, GA
NPI
1457388019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist Counseling
(Licence: GA 1142)
Enumeration Date
2006-06-27
Last Update Date
2021-10-13
Business Address
DR. JACKSON PATTEN RAINER PH.D.
3103 CLAIRMONT RD NE STE B
BROOKHAVEN, GA 30329-1043
Phone number: 404-636-1457
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Mailing Address
DR. JACKSON PATTEN RAINER PH.D.
1017 FAYETTEVILLE RD SE STE A
ATLANTA, GA 30316-2932
Phone number: 404-636-1457
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