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Individual

DR. ALICE T ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
520 EMORY CIR NE, ATLANTA, GA 30307-1145
(678) 886-8680
Mailing address
520 EMORY CIR NE, ATLANTA, GA 30307-1145
(678) 886-8680

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0000983
GA

Other

Enumeration date
10/22/2010
Last updated
06/11/2013
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