Individual
DIEDREA STEVERSON CLAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1200 CONFEDERATE RD, MADISON, GA 30650-2252
(706) 342-3130
Mailing address
1200 CONFEDERATE RD, MADISON, GA 30650-2252
(706) 342-3130
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1935
GA
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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