JEREMY CADE SHIVER

COLLEGE PARK, GA
NPI1780059261
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: GA  PSY003936)
Enumeration Date2015-12-09
Last Update Date2015-12-09
Business Address
-- JEREMY CADE SHIVER Psy.D.
1651 PHOENIX BLVD SUITE 2
COLLEGE PARK, GA 30349-5552
Phone number: 770-997-1738
Mailing Address
-- JEREMY CADE SHIVER Psy.D.
1651 PHOENIX BLVD SUITE 2
COLLEGE PARK, GA 30349-5552
Phone number: 770-997-1738
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