Individual
EMERALD HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4490 WASHINGTON RD, EVANS, GA 30809-5897
(706) 250-0022
(706) 666-0731
Mailing address
4490 WASHINGTON RD, EVANS, GA 30809-5897
(706) 250-0022
(706) 660-0730
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
11/19/2024
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