Individual
JO ANNE RAGSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4916 LAKE PARK LN, ACWORTH, GA 30101-6253
(678) 447-2975
Mailing address
4916 LAKE PARK LN, ACWORTH, GA 30101-6253
(678) 447-2975
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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