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Individual

DR. JULIE GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., PH.D.

Contact information

Practice address
1201 CLAIRMONT RD STE 110, DECATUR, GA 30030-1258
(404) 378-0441
Mailing address
931 MONROE DR. NE, SUITE 102, #513, ATLANTA, GA 30308
(770) 500-8020

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004281
GA

Other

Enumeration date
03/06/2019
Last updated
03/06/2019
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