Individual
MRS. KRISTEN LYNN WAGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4015 S COBB DR SE, SMYRNA, GA 30080-6303
(770) 319-8013
(770) 319-8021
Mailing address
3113 OCTAVIA PL, ATLANTA, GA 30340-4621
(404) 323-7221
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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