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Individual

DR. CAROLYN L BRENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1030 GRANT ST SE STE 4, ATLANTA, GA 30315-2015
(914) 582-0258
Mailing address
114 LENORE PL, DECATUR, GA 30030-4900
(914) 582-0258

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004530
GA

Other

Enumeration date
09/01/2021
Last updated
09/01/2021
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