Alissa Elaine Wayne LCSW

NPI 1447407390 - Social Worker - 1041C0700X

NPI Details
NPI 1447407390
Gender Female
Enumeration Date 08/22/2008
Last Updated 01/26/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
1212 BAILING DR
LAWRENCEVILLE GA, 30043-5296, US
Phone (770) 595-4023
Fax
Business Location
1212 BAILING DR
LAWRENCEVILLE GA, 30043-5296, US
Phone (770) 595-4023
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Georgia
License Number CSW004000
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According to our database, Mrs. Alissa Elaine Wayne LCSW NPI is 1447407390, taxonomy code is 1041C0700X and license number is CSW004000, license state is located at Georgia. Alissa Elaine Wayne LCSW physically located at 1212 Bailing Dr, Lawrenceville GA, 30043-5296. NPI Number Alissa Elaine Wayne LCSW has the Individual type.

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1447407390 NPI number is provided on an as is basis without warranty of any kind. 1447407390 is maintained by the National Plan & Provider Enumeration System. The contents of Alissa Elaine Wayne LCSW are for informational purposes only.