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Individual

CAROL ANN MATHESON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2970 PEACHTREE RD NW STE 110, ATLANTA, GA 30305-2110
(678) 571-7320
Mailing address
2970 PEACHTREE RD NW STE 110, ATLANTA, GA 30305-2110
(678) 571-7320

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2676
GA

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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