KATHLEEN ANN WAGNER

FAYETTEVILLE, GA
NPI1982969754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: GA  LPC006769)
Enumeration Date2012-07-09
Last Update Date2020-05-14
Business Address
Mrs. KATHLEEN ANN WAGNER MA, LPC
145 EMERALD LN
FAYETTEVILLE, GA 30214-4234
Phone number: 678-871-5927
Mailing Address
Mrs. KATHLEEN ANN WAGNER MA, LPC
145 EMERALD LN
FAYETTEVILLE, GA 30214-4234
Phone number: 678-871-5927
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