Individual
DR. ZENA DADOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1105 FURYS LN STE D, AUGUSTA, GA 30907-8238
(803) 220-1853
Mailing address
PO BOX 204169, AUGUSTA, GA 30917-4169
(803) 220-1853
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
39209
TX
Other
Enumeration date
07/11/2019
Last updated
06/24/2023
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