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Individual

MRS. LINDA C WEIGAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
145 GOVERNORS SQ STE A, FAYETTEVILLE, GA 30215-4861
(678) 364-1300
(678) 364-1352
Mailing address
145 GOVERNORS SQ STE A, FAYETTEVILLE, GA 30215-4861
(678) 364-1300
(678) 364-1352

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003094
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102214679
GA
Enumeration date
05/20/2008
Last updated
09/10/2010
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