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Individual

KELSEY R SPRANG JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(859) 433-5348
Mailing address
12 EXECUTIVE PARK DR NE RM 388, ATLANTA, GA 30329-2206
(404) 778-0922

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
NA
GA
103TC0700X
Clinical Psychologist
Primary
PSY004348
GA

Other

Enumeration date
04/24/2019
Last updated
01/03/2020
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