Individual
JOAN WILBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2296 HENDERSON MILL RD NE, ATLANTA, GA 30345-2739
(770) 492-2748
Mailing address
3998 DUNCAN IVES DR, BUFORD, GA 30519-7566
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY11681
FL
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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