Carl Anthony Wardlaw, LPC

NPI #1326360462 in Vidalia, Georgia

Provider Information

NPI Number
1326360462
Entity Type
Individual
Name
Carl Anthony Wardlaw, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
LPC
Enumeration Date
Feb 17, 2010
Last Updated
Feb 17, 2010

Practice Location

Address
508 DONOVAN ST
State
Georgia
ZIP Code
30474-3149
Phone
(912) 537-9280

Specialties & Taxonomy Codes

Specialty
Counselor

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