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Individual

KRISTEN MICHELLE WEDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
330 SANDY SPRINGS CIR STE 103, ATLANTA, GA 30328-3818
(832) 515-9004
Mailing address
340 GRIMES BRIDGE RD, ROSWELL, GA 30075-4645

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
009969
GA

Other

Enumeration date
10/30/2018
Last updated
10/30/2018
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