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1447407390
ALISSA ELAINE WAYNE
LAWRENCEVILLE, GA
NPI
1447407390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004000)
Enumeration Date
2008-08-22
Last Update Date
2009-01-26
Business Address
Mrs. ALISSA ELAINE WAYNE LCSW
1212 BAILING DR
LAWRENCEVILLE, GA 30043-5296
Phone number: 770-595-4023
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Mailing Address
Mrs. ALISSA ELAINE WAYNE LCSW
1212 BAILING DR
LAWRENCEVILLE, GA 30043-5296
Phone number: 770-595-4023
Copy
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