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1659415412
ANDREW CLARK BLALOCK
ATLANTA, GA
NPI
1659415412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: GA 0002482)
Enumeration Date
2007-02-16
Last Update Date
2009-01-07
Business Address
Dr. ANDREW CLARK BLALOCK Ph.D.
4167 ROSWELL RD NE
ATLANTA, GA 30342-3715
Phone number: 404-202-6501
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Mailing Address
Dr. ANDREW CLARK BLALOCK Ph.D.
406 LONG BRANCH WAY
CANTON, GA 30115-4594
Phone number: 404-202-6501
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