Individual
CHRISTINE JAVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1561 GREYSON RDG, MARIETTA, GA 30062-7204
(404) 964-8533
Mailing address
1561 GREYSON RDG, MARIETTA, GA 30062-7204
(404) 964-8533
(888) 400-0765
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
GA
222Q00000X
Developmental Therapist
416883
GA
225C00000X
Rehabilitation Counselor
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
GA
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
01/25/2012
Last updated
02/21/2012
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