Individual
MRS. DONNA DEBONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 WESLEY DR, ATHENS, GA 30605-7053
(706) 208-5214
(706) 208-5214
Mailing address
200 WESLEY DR, ATHENS, GA 30605-7053
(706) 208-5214
(706) 208-5214
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
07/09/2007
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