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Individual

MR. DEAN WAGENBRENNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAPC

Contact information

Practice address
690 COURTENAY DR NE, ATLANTA, GA 30306-3421
(404) 875-4551
Mailing address
690 COURTENAY DR NE, ATLANTA, GA 30306-3421
(404) 875-4551

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC003126
GA

Other

Enumeration date
10/31/2014
Last updated
10/31/2014
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