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Individual

MS. AUDREY BURKE WARDLAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
6900 SCHOMBURG RD, #412, COLUMBUS, GA 31909-1505
(706) 358-7480
Mailing address
6900 SCHOMBURG RD, #412, COLUMBUS, GA 31909-1505
(706) 358-7480

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004528
GA

Other

Enumeration date
05/21/2009
Last updated
05/21/2009
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