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1720284862
NATHAN MASCARO
DULUTH, GA
NPI
1720284862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA 003091)
Enumeration Date
2007-06-25
Last Update Date
2007-07-08
Business Address
-- NATHAN MASCARO Ph.D.
3675 CRESTWOOD PKWY NW
DULUTH, GA 30096-1805
Phone number: 404-558-5992
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Mailing Address
-- NATHAN MASCARO Ph.D.
894 FIRESIDE WAY
STONE MOUNTAIN, GA 30083-2510
Phone number: 404-558-5992
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