Individual
JOSEPH WANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 ENTERPRISE PATH STE 201, HIRAM, GA 30141-2654
(678) 567-0920
Mailing address
126 ENTERPRISE PATH STE 201, HIRAM, GA 30141-2654
(678) 567-0920
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008701
GA
Other
Enumeration date
11/16/2015
Last updated
06/14/2016
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