Organization
GROW HEAL LIVE LEAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY L DICKINSON PH.D. (LICENSED PSYCHOLOGIST/PRESIDENT)
(678) 463-1092
Entity
Organization
Contact information
Practice address
2964 PEACHTREE RD NW, SUITE 760, ATLANTA, GA 30305-2153
(678) 463-1092
Mailing address
2964 PEACHTREE RD NW, SUITE 760, ATLANTA, GA 30305-2153
(678) 463-1092
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3256
GA
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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