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Individual

DR. TARA M. BOADU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
4530 S BERKELEY LAKE RD, SUITE B, NORCROSS, GA 30071-1660
(770) 417-2724
(770) 446-5643
Mailing address
4530 S BERKELEY LAKE RD, SUITE B, NORCROSS, GA 30071-1660
(770) 417-2724
(770) 446-5643

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003163
GA

Other

Enumeration date
09/23/2008
Last updated
09/23/2008
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