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Individual

DR. ANN PENNEBAKER ARNOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
8954 HOSPITAL DR, SUITE B-110, DOUGLASVILLE, GA 30134-2272
(770) 920-6555
(404) 262-9331
Mailing address
3610 IVY RD NE, ATLANTA, GA 30342-4510
(404) 237-5891
(404) 262-9331

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1767
GA

Other

Enumeration date
09/29/2006
Last updated
07/09/2007
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