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Individual

DR. RICK DAVIS THODE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1195 MCCONNELL DR, DECATUR, GA 30033-3403
(707) 616-5926

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2096
CO

Other

Enumeration date
08/22/2006
Last updated
07/08/2007
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