Individual
WILLIAM ALLEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
476 E MOURNING DOVE CT, MONTICELLO, GA 31064-9240
(706) 476-3109
Mailing address
476 E MOURNING DOVE CT, MONTICELLO, GA 31064-9240
(706) 476-3109
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2673
GA
Other
Enumeration date
03/03/2012
Last updated
03/03/2012
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