Individual
DR. LAWANA WAITERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TH.D, PSY.D,
Contact information
Practice address
136 HIGHWAY 138, RIVERDALE, GA 30236
(770) 572-9317
Mailing address
P.O BOX 31, JONESBORO, GA 30237-0031
(770) 572-9317
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000X
GA
Other
Enumeration date
08/28/2012
Last updated
03/19/2013
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