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1982006904
INNOVATIVE THERAPY OF GEORGIA
MARIETTA, GA
NPI
1982006904
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Entity Type
Organization
Authorized Contact
SHELENA DAVIS
Owner
866-377-5454
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA 007825)
Enumeration Date
2014-09-22
Last Update Date
2014-09-22
Business Address
INNOVATIVE THERAPY OF GEORGIA
2470 WINDY HILL RD SE SUITE 300
MARIETTA, GA 30067-8613
Phone number: 866-377-5454
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Mailing Address
INNOVATIVE THERAPY OF GEORGIA
2470 WINDY HILL RD SE SUITE 300
MARIETTA, GA 30067-8613
Phone number: 866-377-5454
Copy
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