Individual
BLESSED WONJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 BLACKMON DR APT 3120, DECATUR, GA 30033-6252
(616) 901-1032
Mailing address
2550 BLACKMON DR APT 3120, DECATUR, GA 30033-6252
(616) 901-1032
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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