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1225386931
LAWANA WAITERS
RIVERDALE, GA
NPI
1225386931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: GA 101Y00000X)
Enumeration Date
2012-08-28
Last Update Date
2013-03-19
Business Address
Dr. LAWANA WAITERS TH.D, PSY.D,
136 HIGHWAY 138
RIVERDALE, GA 30236
Phone number: 770-572-9317
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Mailing Address
Dr. LAWANA WAITERS TH.D, PSY.D,
P.O BOX 31
JONESBORO, GA 30237-0031
Phone number: 770-572-9317
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