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1588967905
AMANDA KAY WAGNER
DECATUR, GA
NPI
1588967905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004326)
Enumeration Date
2010-12-07
Last Update Date
2010-12-07
Business Address
-- AMANDA KAY WAGNER LCSW
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
-- AMANDA KAY WAGNER LCSW
1670 CLAIRMONT ROAD
DECATUR, GA 30033
Phone number: 404-321-6111
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