RICHARD E. SHOOK, PH.D., P.C.
Social Work at Cherry St, Marietta, GA

License number
Georgia PSY1908
Category
Social Work
Type
Clinical
Owner
Name: DR. RICHARD SHOOK PH.D., P.C.
Title: LICENSED PSYCHOLOGIST
Phone: (770) 514-0111
Address
Address
127 Cherry St, Marietta, GA 30060
National Provider ID: 1588876221
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RICHARD E. SHOOK, PH.D., PC

127 Cherry St NE, Marietta, GA 30060

Registration:
Jul 31, 1997
State ID:
K727982
Business type:
Domestic Professional Corporation
CFOs:
Billie Shook (Secretary), 127 Cherry St, Marietta, GA 30060 (Physical),E Richard Shook (CFO), 127 Cherry St, Marietta, GA 30060 (Physical)
Agent:
Richard E Shook,127 Cherry St, Marietta, GA (Physical)

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