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Individual

ANDREA M GAMACHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2400 PLEASANT HILL RD, SUITE 165, DULUTH, GA 30096
(770) 476-1967
(770) 476-0377
Mailing address
PO BOX 88262, ATLANTA, GA 30356
(770) 590-8257
(770) 476-0377

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1943
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00693459A
GA
Enumeration date
12/08/2006
Last updated
07/08/2007
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