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Individual

GLENN J EGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1441 CLIFTON ROAD NE- 4TH FLOOR, ATLANTA, GA 30322-0001
(404) 712-7103
Mailing address
1441 CLIFTON ROAD NE- 4TH FLOOR, ATLANTA, GA 30322-0001

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1446
GA

Other

Enumeration date
09/25/2006
Last updated
07/08/2007
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