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Organization
DENROC ENTERPRISES LLC
Active
Organization
DENROC ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS MITCHELL (OWNER)
(404) 483-9695
Entity
Organization
Contact information
Practice address
1070 BRIDLE PATH DR, LAWRENCEVILLE, GA 30045-8213
(404) 483-9695
Mailing address
1070 BRIDLE PATH DR, LAWRENCEVILLE, GA 30045-8213
(404) 483-9695
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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