Individual
CELINE ODUMAH BIRIKORANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4216 STILLWATER DR, DULUTH, GA 30096-5596
(347) 982-3464
Mailing address
4216 STILLWATER DR, DULUTH, GA 30096-5596
(347) 982-3464
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB730449
GA
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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