Individual
DR. JALIKA STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(202) 368-5274
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004062
GA
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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