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Individual
WAYNE CHAN
Active
Individual
WAYNE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY004177
GA
103TC0700X
Clinical Psychologist
Primary
PSY27684
CA
Other
Enumeration date
03/03/2009
Last updated
03/01/2021
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