Search › Georgia › 1041C0700X
Wanda Devaughn, LCSW
NPI 1336251545 · on the registry since 2006 · sole proprietor
Practice
- Address
- 317 Alexander St Se
Marietta, GA 30060 - Phone
- (770) 425-4488
- Fax
- (770) 425-8862
- Organisation at this address
- Wanda Devaughn, Lcsw, Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia