Individual
DANA LOUISE SHROYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7110 MCBRAYER RD, CUMMING, GA 30028-8957
(404) 502-1357
Mailing address
7110 MCBRAYER RD, CUMMING, GA 30028-8957
(404) 502-1357
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003108245A
—
GA
Enumeration date
07/11/2011
Last updated
09/08/2011
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