Individual
LORRAINE WRAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, CST
Contact information
Practice address
1400 BUFORD HWY STE D1, BUFORD, GA 30518-8722
(770) 503-6115
Mailing address
8827 GRASSY KNOLL LN, CLERMONT, GA 30527-3405
(770) 503-6115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008665
GA
Other
Enumeration date
12/11/2015
Last updated
05/28/2019
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