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1891826822
MARK WAGEMAKER
CARROLLTON, GA
NPI
1891826822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: GA LPC5042)
Enumeration Date
2007-03-09
Last Update Date
2009-08-05
Business Address
MR. MARK WAGEMAKER LPC 5042
402B ADAMSON SQ SUITE 11
CARROLLTON, GA 30117-3214
Phone number: 404-580-6684
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Mailing Address
MR. MARK WAGEMAKER LPC 5042
PO BOX 1196
CARROLLTON, GA 30112-0022
Phone number: 404-580-6684
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