Individual
HEATHER B WADEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
60 11TH ST NE, POSITIVE IMPACT, ATLANTA, GA 30309-3970
(404) 589-9040
Mailing address
929 ADAIR AVE NE, ATLANTA, GA 30306-3805
(404) 873-4514
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003420
GA
Other
Enumeration date
10/29/2007
Last updated
08/21/2013
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