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1821720822
ANTHONY WAYNE HANSEN
SMYRNA, GA
NPI
1821720822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: GA PSY004330)
Enumeration Date
2022-06-28
Last Update Date
2022-06-28
Business Address
ANTHONY WAYNE HANSEN PhD
3995 W COOPER LAKE DR SE
SMYRNA, GA 30082-4006
Phone number: 404-889-6886
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Mailing Address
ANTHONY WAYNE HANSEN PhD
3995 W COOPER LAKE DR SE
SMYRNA, GA 30082-4006
Phone number: 404-358-3200
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