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Organization
REGION IV DEPARTMENT OF FAMILY AND CHILDREN SERVICES
Active
Organization
REGION IV DEPARTMENT OF FAMILY AND CHILDREN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY ANN PRAINO (FISCAL OPER MGR)
(770) 233-5523
Entity
Organization
Contact information
Practice address
242 ODELL RD STE 5, GRIFFIN, GA 30224-4879
(770) 233-5523
Mailing address
242 ODELL RD STE 5, GRIFFIN, GA 30224-4879
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
NULL
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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