Individual
MRS. CECILIA TATIANA LEE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 GRAND CENTRAL BLVD STE 101, POOLER, GA 31322-4146
(866) 610-0580
Mailing address
105 GRAND CENTRAL BLVD STE 101, POOLER, GA 31322-4146
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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