Individual
ALLISSA L HALDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
(910) 723-7823
Mailing address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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