Individual
SHANNAN MICHELLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2924 CLAIRMONT RD NE, APARTMENT 447, BROOKHAVEN, GA 30329-1655
(770) 905-7573
Mailing address
2924 CLAIRMONT RD NE, APARTMENT 447, BROOKHAVEN, GA 30329-1655
(770) 905-7573
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003938
GA
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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