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1083908735
MICHELE SUZANNE WAGNER
ATLANTA, GA
NPI
1083908735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004260)
Enumeration Date
2011-05-30
Last Update Date
2011-05-30
Business Address
-- MICHELE SUZANNE WAGNER CSW
2900 CHAMBLEE TUCKER RD BLD 8, STE 301
ATLANTA, GA 30341-4100
Phone number: 678-824-6590
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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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