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Individual

JESSICA J LAZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2801 BUFORD HWY NE, SUITE 275, ATLANTA, GA 30329-2149
(404) 633-3633
Mailing address
2801 BUFORD HWY NE, SUITE 275, ATLANTA, GA 30329-2149
(404) 633-3633

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002141
GA

Other

Enumeration date
03/28/2007
Last updated
03/01/2012
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