Individual
MRS. KATHLEEN BIBLE WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4604 CAPE KURE CT, PEACHTREE CORNERS, GA 30092-1119
(770) 598-3158
Mailing address
4604 CAPE KURE CT, PEACHTREE CORNERS, GA 30092-1119
(770) 598-3158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW005082
GA
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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