Individual
CARA DARISE WAISWILOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APC, CRC, NCC
Contact information
Practice address
2120 MARIETTA BLVD NW, ATLANTA, GA 30318-2122
(678) 365-0071
Mailing address
2120 MARIETTA BLVD NW, ATLANTA, GA 30318-2122
(678) 365-0071
(678) 365-0098
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC006616
GA
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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