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Individual

DR. BONNIE MOSCOVITCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
11755 POINTE PL, SUITE B-2, ROSWELL, GA 30076-4636
(404) 246-7325
(770) 664-8816
Mailing address
11755 POINTE PL, SUITE B-2, ROSWELL, GA 30076-4636
(404) 246-7325
(770) 664-8816

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002776
GA

Other

Enumeration date
01/18/2007
Last updated
07/08/2010
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