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Individual

ANGELA COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4189 WHITE RD, SNELLVILLE, GA 30039-4242
(470) 485-2220
Mailing address
4189 WHITE RD, SNELLVILLE, GA 30039-4242

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/18/2019
Last updated
12/18/2019
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