Individual
DAISY LAUREN MARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 ROSE CREEK CT, WOODSTOCK, GA 30189-6845
(786) 352-9039
Mailing address
606 ROSE CREEK CT, WOODSTOCK, GA 30189-6845
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-173122
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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