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Individual

DR. DECIA NICOLE DIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2751 BUFORD HWY NE STE 410, ATLANTA, GA 30324-5457
(678) 524-5325
Mailing address
2751 BUFORD HWY NE STE 410, ATLANTA, GA 30324-5457
(678) 649-1940
(678) 701-3953

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003490
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003125580A
GA
Enumeration date
03/25/2011
Last updated
03/17/2018
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