REGINA KATHERINE WISENBAKER

VALDOSTA, GA
NPI1144654674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW005046)
Enumeration Date2013-09-03
Last Update Date2023-03-15
Business Address
Ms. REGINA KATHERINE WISENBAKER LCSW
2704 N OAK ST BLDG J
VALDOSTA, GA 31602-1768
Phone number: 229-262-7333
Mailing Address
Ms. REGINA KATHERINE WISENBAKER LCSW
2704 N OAK ST BLDG J
VALDOSTA, GA 31602-1768
Phone number: 229-262-7333
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