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Organization

RICHARD BORN, PH.D. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD BORN PH.D. (LICENSED PSYCHOLOGIST)
(706) 543-7605
Entity
Organization

Contact information

Practice address
1 HUNTINGTON RD, #205, ATHENS, GA 30606-7204
(706) 543-7605
(706) 543-2397
Mailing address
1 HUNTINGTON RD, #205, ATHENS, GA 30606-7204
(706) 543-7605
(706) 543-2397

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY001283
GA

Other

Enumeration date
08/21/2007
Last updated
11/16/2007
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