Individual
ESTHER JEAN-GRATIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9757 BLUE RIDGE DR, BLUE RIDGE, GA 30513-4167
(706) 455-2490
Mailing address
324 CHERI PL, JONESBORO, GA 30238-4580
(678) 222-6316
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY004274
GA
Other
Enumeration date
04/09/2019
Last updated
11/01/2019
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