Individual
MS. WAKAKO MINAMOTOWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, S/T
Contact information
Practice address
7744 NEWBURY DR, JONESBORO, GA 30236-7312
(404) 281-2144
Mailing address
7744 NEWBURY DR, JONESBORO, GA 30236-7312
(404) 281-2144
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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