Individual
CHIQUITA DENISE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2271 IRVING WAY, SUITE 201, DECATUR, GA 30033
(866) 523-4268
Mailing address
1450 NEWNAN CROSSING BLVD E APT 3314, NEWNAN, GA 30265-0008
(678) 282-3750
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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