Individual
MARCIA RHODA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6111 PEACHTREE DUNWOODY RD, SUITE F-103, SANDY SPRINGS, GA 30328-6049
(770) 395-0059
Mailing address
6111 PEACHTREE DUNWOODY RD, SUITE F-103, SANDY SPRINGS, GA 30328-6049
(770) 395-0059
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY000387
GA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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