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Organization

SAORI MARUYAMA, PH.D. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAORI MARUYAMA PH.D. (LICENSED PSYCHOLOGIST)
(678) 935-9567
Entity
Organization

Contact information

Practice address
10475 MEDLOCK BRIDGE RD, BUILDING 300, SUITE 315, JOHNS CREEK, GA 30097-4433
(678) 935-9567
(678) 935-9568
Mailing address
10475 MEDLOCK BRIDGE RD, BUILDING 300, SUITE 315, JOHNS CREEK, GA 30097-4433
(678) 935-9567
(678) 935-9568

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003255
GA

Other

Enumeration date
07/15/2009
Last updated
07/15/2009
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