Individual
GERALD JEROME DENNIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5906 PINE HURST WAY, DOUGLASVILLE, GA 30135-2350
(470) 535-1773
Mailing address
5906 PINE HURST WAY, DOUGLASVILLE, GA 30135-2350
(470) 535-1773
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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