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Individual

KYLIE CRAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
6264 HOSPITAL WAY, DOUGLASVILLE, GA 30134-1944
(678) 977-8300
Mailing address
PO BOX 1916, DOUGLASVILLE, GA 30133-1916
(678) 977-8300

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003413
GA

Other

Enumeration date
10/14/2010
Last updated
10/14/2010
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