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1699844514
MICHELLE R BROTH
ATLANTA, GA
NPI
1699844514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY002969)
Enumeration Date
2006-11-07
Last Update Date
2007-07-18
Business Address
-- MICHELLE R BROTH PhD
341 PONCE DE LEON AVE NE
ATLANTA, GA 30308-2012
Phone number: 404-616-9830
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Mailing Address
-- MICHELLE R BROTH PhD
336 MIMOSA DR
DECATUR, GA 30030-3734
Phone number: 404-616-9830
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