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Individual

MS. BONNIE MARIE WATJE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
675 WHITE SULPHUR RD STE 260, GAINESVILLE, GA 30501-2569
(770) 219-0446
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-0446

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7244
ID
101YM0800X
Mental Health Counselor
Primary
LPC014685
GA
101YM0800X
Mental Health Counselor

Other

Enumeration date
04/30/2019
Last updated
05/24/2024
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