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1679186670
MARTALE JERRELL DAVIS
DECATUR, GA
NPI
1679186670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY004407)
Enumeration Date
2020-08-28
Last Update Date
2020-11-03
Business Address
Dr. MARTALE JERRELL DAVIS Ph.D.
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
Dr. MARTALE JERRELL DAVIS Ph.D.
1670 CLAIRMONT RD # MHSL116
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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