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1750033510
CHRISTIAN WALLER
AUGUSTA, GA
NPI
1750033510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC012689)
Enumeration Date
2022-01-24
Last Update Date
2022-01-24
Business Address
CHRISTIAN WALLER
2761 ROCKY CREEK RD
AUGUSTA, GA 30906-2657
Phone number: 678-258-5400
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Mailing Address
CHRISTIAN WALLER
2761 ROCKY CREEK RD
AUGUSTA, GA 30906-2657
Phone number: 678-258-5400
Copy
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