MICHELE SUZANNE WAGNER

ATLANTA, GA
NPI1083908735
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW004260)
Enumeration Date2011-05-30
Last Update Date2011-05-30
Business Address
-- MICHELE SUZANNE WAGNER CSW
2900 CHAMBLEE TUCKER RD BLD 8, STE 301
ATLANTA, GA 30341-4100
Phone number: 678-824-6590
Mailing Address
-- MICHELE SUZANNE WAGNER CSW
8075 MALL PKWY STE 101-348
LITHONIA, GA 30038-6993
Phone number: 678-288-6550
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