Individual
ELIZABETH KRAKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1123 CLAIREMONT ROAD, DECATUR, GA 30030
(678) 909-9028
Mailing address
1123 CLAIREMONT AVE, DECATUR, GA 30030-1207
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3052
GA
Other
Enumeration date
08/31/2022
Last updated
11/02/2022
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