Individual
MARYLORRAINE ALCOTT SPRUILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
693 COCHRAN DR, BYRON, GA 31008
(229) 449-3934
(478) 352-0040
Mailing address
693 COCHRAN DR, BYRON, GA 31008-6827
(229) 449-3934
(478) 352-0040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4526
GA
103K00000X
Behavior Analyst
1/8/4526
SC
Other
Enumeration date
12/03/2008
Last updated
07/11/2018
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