TANJA KETISCH

ATLANTA, GA
NPI1568844835
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: AL  1939)
Enumeration Date2015-06-23
Last Update Date2015-06-23
Business Address
-- TANJA KETISCH
1160 WING ST
ATLANTA, GA 30350-2953
Phone number: 404-423-5410
Mailing Address
-- TANJA KETISCH
1160 WING ST
ATLANTA, GA 30350-2953
Phone number: 404-423-5410
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