Provider Information for 1205561313
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Dr. JAN H LIGON PhD, LCSW
Sex: Male
NPI: 1205561313
Last Updated: 2022-07-21
Certification Date: 2022-07-21
Certification Date: 2022-07-21
Details
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NPI | 1205561313 | ||||||||
Enumeration Date | 2022-07-21 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 850 PIEDMONT AVE NE UNIT 3120 ATLANTA, GA 30308-1494 United States Phone: 770-316-5417 | Fax: | ||||||||
Primary Practice Address | 850 PIEDMONT AVE NE UNIT 3120 ATLANTA, GA 30308-1494 United States Phone: 770-316-5417 | Fax: | ||||||||
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