Individual
GENESIS M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8601 CEDAR CREEK RDG, RIVERDALE, GA 30274-4543
(678) 685-7134
Mailing address
8601 CEDAR CREEK RDG, RIVERDALE, GA 30274-4543
(678) 685-7134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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