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Individual

DR. GWENETH MARTIN HAYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1514 CLEVELAND AVE, SUITE 84, EAST POINT, GA 30344-6965
(678) 904-2869
(404) 506-9820
Mailing address
7561 PETAL PL, FAIRBURN, GA 30213-1974
(678) 755-4102

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003076
GA

Other

Enumeration date
04/16/2007
Last updated
07/08/2007
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