Individual
MISS ADALYNN MARIA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 VERMILLION ST, ACWORTH, GA 30102-1407
(678) 832-9581
Mailing address
307 VERMILLION ST, ACWORTH, GA 30102-1407
(678) 832-9581
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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