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1174864979
KENWANA MICHELLE VANDERBILT
MACON, GA
NPI
1174864979
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Former Name
KENWANA MICHELLE LEWIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: GA PSY003494)
Enumeration Date
2013-03-05
Last Update Date
2016-03-09
Business Address
DR. KENWANA MICHELLE VANDERBILT PSY.D.
MACON OUTPATIENT CLINIC- 5398 THOMASTON RD. SUITE B
MACON, GA 31220
Phone number: 478-476-8868
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Mailing Address
DR. KENWANA MICHELLE VANDERBILT PSY.D.
MACON OUTPATIENT CLINIC- 5398 THOMASTON RD. SUITE B
MACON, GA 31220
Phone number: 478-476-8868
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