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Individual

STEPHANIE WACHS MAKANGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
515 E PONCE DE LEON AVE, DECATUR, GA 30030-1941
(770) 589-0788
Mailing address
1960 ROLLINGWOOD DR SE, ATLANTA, GA 30316-4424
(214) 535-5756

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007015
GA

Other

Enumeration date
06/13/2021
Last updated
03/26/2024
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