Individual
MR. GEORGE STANLEY WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.M.F.C. L.P.C.C.
Contact information
Practice address
3019 FUTURA DR, ROSWELL, NM 88201-7701
(505) 627-7655
Mailing address
3019 FUTURA DR, ROSWELL, NM 88201-7701
(505) 627-7655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0072031
NM
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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