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Individual

MS. AMY WALDRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1291 STANLEY RD NW, KENNESAW, GA 30152-4359
(770) 427-0147
Mailing address
603 COLONY CT, WOODSTOCK, GA 30188-4191
(770) 427-0147

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2689
GA

Other

Enumeration date
07/07/2015
Last updated
07/07/2015
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