Wanda Devaughn, Lcsw, Pc

NPI 1023264827 - Social Worker - 1041C0700X

NPI Details
NPI 1023264827
Enumeration Date 08/12/2008
Last Updated 08/12/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name WANDA WANDA
Position PRESIDENT
Phone (770) 425-4488
Fax (770) 425-8862
Practice Location
317 ALEXANDER ST SE
MARIETTA GA, 30060-2077, US
Phone (770) 425-4488
Fax (770) 425-8862
Business Location
317 ALEXANDER ST SE
MARIETTA GA, 30060-2077, US
Phone (770) 425-4488
Fax (770) 425-8862
Toxanomy
Taxonomy Code 1041C0700X
License State Georgia
License Number CSW000605
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According to our database, Wanda Devaughn, Lcsw, Pc NPI is 1023264827, taxonomy code is 1041C0700X and license number is CSW000605, license state is located at Georgia. Wanda Devaughn, Lcsw, Pc physically located at 317 Alexander St Se, Marietta GA, 30060-2077. NPI Number 1033115704 has the healthcare provider type.

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1023264827 NPI number is provided on an as is basis without warranty of any kind. 1023264827 is maintained by the National Plan & Provider Enumeration System. The contents of Wanda Devaughn, Lcsw, Pc are for informational purposes only.