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Individual

MR. GEORGE WELLS PETRAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.P.C.

Contact information

Practice address
3675 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2328
(706) 424-6674
Mailing address
3675 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2328
(706) 424-6674

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701003613
VA
101YM0800X
Mental Health Counselor
Primary
LPC004835
GA

Other

Enumeration date
05/01/2008
Last updated
05/01/2008
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