Individual
FABIENNE EDOUARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 SATELLITE BLVD STE 800, DULUTH, GA 30097-6286
(404) 295-7941
Mailing address
1845 SATELLITE BLVD STE 800, DULUTH, GA 30097-6286
(404) 295-7941
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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