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Individual

MELANIE C SHANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
740 E GENERAL STEWART WAY STE 103, HINESVILLE, GA 31313-2636
(877) 321-2899
(877) 540-0182
Mailing address
171 OAK SIDE CT, RICHMOND HILL, GA 31324-5356
(860) 559-8854

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-12-4479

Other

Enumeration date
03/07/2012
Last updated
03/31/2020
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