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1578513404
JILL LEVEY WAXMAN
WOODSTOCK, GA
NPI
1578513404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY002824)
Enumeration Date
2006-05-11
Last Update Date
2007-07-08
Business Address
-- JILL LEVEY WAXMAN PhD
105 ARNOLD MILL RD
WOODSTOCK, GA 30188-5027
Phone number: 770-926-0016
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Mailing Address
-- JILL LEVEY WAXMAN PhD
1540 HEATH LN
MARIETTA, GA 30062-5901
Phone number: 770-833-0885
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