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1891903530
SUZANNE WALLER
CUMMING, GA
NPI
1891903530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC003440)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- SUZANNE WALLER L.P.C.
309 PIRKLE FERRY RD A 400
CUMMING, GA 30040-2545
Phone number: 770-598-4034
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Mailing Address
-- SUZANNE WALLER L.P.C.
PO BOX 999
DAHLONEGA, GA 30533-0017
Phone number: 770-598-4034
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