Individual
DR. CHANDA LYNNE PILGRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
945 N INDIAN CREEK DR, CLARKSTON, GA 30021-2221
(404) 298-9005
(404) 298-0046
Mailing address
945 N INDIAN CREEK DR, CLARKSTON, GA 30021-2221
(718) 704-6901
(404) 298-0046
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
003471
GA
Other
Enumeration date
07/29/2009
Last updated
07/11/2012
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