Individual
DESTINY JORDAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
97 WINDY DR, RINGGOLD, GA 30736-7692
(762) 432-4012
Mailing address
97 WINDY DR, RINGGOLD, GA 30736-7692
(762) 432-4012
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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