Individual
DR. MOGENS REIMER JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
300 COLONIAL CENTER PKWY, SUITE 100, ROSWELL, GA 30076-4892
(770) 640-1650
Mailing address
300 COLONIAL CENTER PKWY, SUITE 100, ROSWELL, GA 30076-4892
(770) 640-1650
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001343
GA
Other
Enumeration date
05/10/2007
Last updated
03/08/2013
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