Individual
MS. CASEY C CUDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2105 SUMMERWOOD DR, CLARKSTON, GA 30021-3401
(404) 432-7984
Mailing address
2105 SUMMERWOOD DR, CLARKSTON, GA 30021-3401
(404) 432-7984
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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