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Individual

GRACE AN CATHERINE GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2357 WARM SPRINGS RD, COLUMBUS, GA 31904-5668
(910) 633-9556
Mailing address
1525 3RD AVE APT 1208, COLUMBUS, GA 31901-2097
(678) 575-2759

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/18/2024
Last updated
11/18/2024
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