Organization
CHILD & ADOLESCENT RESOURCE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEDREA CLAXTON (LICENSED PSYCHOLOGIST)
(706) 342-3130
Entity
Organization
Contact information
Practice address
1200 CONFEDERATE RD, MADISON, GA 30650-2252
(706) 342-3130
Mailing address
1200 CONFEDERATE RD, MADISON, GA 30650-2252
(706) 342-3130
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1935
GA
Other
Enumeration date
11/19/2006
Last updated
08/22/2020
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