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Individual

DR. LESLIE A. STUART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1100 JOHNSON FERRY RD NE, SUITE 230, ATLANTA, GA 30342-1709
(404) 943-9494
(678) 399-9635
Mailing address
1100 JOHNSON FERRY RD NE, SUITE 230, ATLANTA, GA 30342-1709
(404) 943-9494
(678) 399-9635

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2437
GA
103TC0700X
Clinical Psychologist
Primary
2437
GA
103TC2200X
Clinical Child & Adolescent Psychologist
2437
GA

Other

Enumeration date
03/13/2007
Last updated
12/28/2011
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