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1811474125
DEMETRIUS ROMAN
ATLANTA, GA
NPI
1811474125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TF0000X Psychologist, Family
(Licence: GA 06211979)
Enumeration Date
2018-07-19
Last Update Date
2018-07-19
Business Address
DEMETRIUS ROMAN
1580 PHOENIX BLVD STE 200
ATLANTA, GA 30349-5187
Phone number: 770-282-0389
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Mailing Address
DEMETRIUS ROMAN
PO BOX 962651
RIVERDALE, GA 30296-6926
Phone number: 770-282-0389
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