KENWANA MICHELLE VANDERBILT

MACON, GA
NPI1174864979
Former NameKENWANA MICHELLE LEWIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: GA  PSY003494)
Enumeration Date2013-03-05
Last Update Date2016-03-09
Business Address
Dr. KENWANA MICHELLE VANDERBILT Psy.D.
MACON OUTPATIENT CLINIC- 5398 THOMASTON RD. SUITE B
MACON, GA 31220
Phone number: 478-476-8868
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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