Provider Information for 1851924617
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ANGELA ROBINSON LPC
Other Names:Professional Name:ANGELA GLASS WACHT LPCSex: Female
NPI: 1851924617
Last Updated: 2023-02-23
Certification Date: 2023-02-23
Certification Date: 2023-02-23
Details
| Name | Value | |||||||||||||||||||||
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| NPI | 1851924617 | |||||||||||||||||||||
| Enumeration Date | 2020-02-19 | |||||||||||||||||||||
| NPI Type | NPI-1 Individual | |||||||||||||||||||||
| Sole Proprietor | YES | |||||||||||||||||||||
| Status | Active | |||||||||||||||||||||
| Mailing Address | 315 HIGH BROOK DR ATLANTA, GA 30342-2314 United States Phone: 404-512-8184 | Fax: | |||||||||||||||||||||
| Primary Practice Address | 315 HIGH BROOK DR ATLANTA, GA 30342 United States Phone: 404-512-8184 | Fax: | |||||||||||||||||||||
| Secondary Practice Address(es) | 2859 HENDERSON MILL RD | |||||||||||||||||||||
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