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Individual

DR. HARRIET A BRODSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
12 NORCROSS ST, SUITE 205, ROSWELL, GA 30075-7409
(770) 640-8989
(770) 993-3669
Mailing address
12 NORCROSS ST, SUITE 205, ROSWELL, GA 30075-7409
(770) 640-8989
(770) 993-3669

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002193
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00793075D
GA
Enumeration date
12/28/2006
Last updated
07/09/2007
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