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Individual

MR. ANTHONY MCCRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4193 CHESTNUT LAKE AVE, LITHONIA, GA 30038-4578
(770) 899-0258
Mailing address
4193 CHESTNUT LAKE AVE, LITHONIA, GA 30038-4578
(770) 899-0258

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/14/2017
Last updated
03/14/2017
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