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1104531599
RICHARD BRENT WADSWORTH
VILLA RICA, GA
NPI
1104531599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC005998)
Enumeration Date
2023-01-19
Last Update Date
2023-01-19
Business Address
Mr. RICHARD BRENT WADSWORTH LAPC
101 QUARTZ DR STE 201
VILLA RICA, GA 30180-3256
Phone number: 770-812-3839
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Mailing Address
Mr. RICHARD BRENT WADSWORTH LAPC
2022 DARTMOTH WAY
VILLA RICA, GA 30180-5860
Phone number: 404-829-9722
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