ANDREW NATHAN WALLACE

CANTON, GA
NPI1295433167
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW008417)
Enumeration Date2023-02-21
Last Update Date2023-04-25
Business Address
ANDREW NATHAN WALLACE LCSW
191 LAMAR HALEY PKWY
CANTON, GA 30114-8019
Phone number: 770-704-1600
Mailing Address
ANDREW NATHAN WALLACE LCSW
1193 WADE GREEN CIR NW
ACWORTH, GA 30102-3491
Phone number: 770-866-6851
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