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1528289436
MADINAH IKHLAS RALSTON
COLLEGE PARK, GA
NPI
1528289436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY003079)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Dr. MADINAH IKHLAS RALSTON Ph.D.
1631 PHOENIX BLVD SUITE 5
COLLEGE PARK, GA 30349-5545
Phone number: 770-909-6550
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Mailing Address
Dr. MADINAH IKHLAS RALSTON Ph.D.
7059 RED MAPLE LN
LITHONIA, GA 30058-2998
Phone number: 404-432-5259
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