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Individual

DR. MICHAEL JOSEPH RUNO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
4411 SUWANEE DAM ROAD, SUITE 920, SUWANEE, GA 30024
(678) 714-9590
(678) 714-9535
Mailing address
630 GRIMSBY COURT, SUWANEE, GA 30024
(770) 639-7772

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0001880
GA

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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