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1669463766
THEODORE MICHAEL GOETZ
ATHENS, GA
NPI
1669463766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA 698)
Enumeration Date
2005-10-31
Last Update Date
2007-07-08
Business Address
-- THEODORE MICHAEL GOETZ Ph.D.
1751 S LUMPKIN ST
ATHENS, GA 30606-4740
Phone number: 706-548-9441
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Mailing Address
-- THEODORE MICHAEL GOETZ Ph.D.
1751 S LUMPKIN ST
ATHENS, GA 30606-4740
Phone number: 706-548-9441
Copy
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