Individual
MISS AMANDA GAIL WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1458 CRONAN RD, COVINGTON, GA 30016-8955
(770) 361-1288
Mailing address
1458 CRONAN RD, COVINGTON, GA 30016-8955
(770) 361-1288
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005430
GA
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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