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Individual

DR. MARION STEVENS LATHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
2801 BUFORD HWY NE, 550B, ATLANTA, GA 30329-2149
(404) 636-9402
(404) 636-9592
Mailing address
2801 BUFORD HWY NE, 550B, ATLANTA, GA 30329-2149
(404) 636-9402
(404) 636-9592

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1310
GA

Other

Enumeration date
10/26/2006
Last updated
07/08/2007
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