Individual
GRADEA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1823 MILLSTONE MNR, CONYERS, GA 30013-1355
(404) 988-2450
Mailing address
1823 MILLSTONE MNR, CONYERS, GA 30013-1355
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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