Individual
MS. LYNN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2801 BUFORD HWY NE, SUITE T-60, ATLANTA, GA 30329-2149
(770) 715-5725
Mailing address
28001 BUFORD HIGHWAY, SUITE T-60, ATLANTA, GA 30329-0000
(770) 715-5725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005429
GA
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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