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Individual

ANNA BUSHMIAER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
28 BLACK JACK MOUNTAIN CIR SW, CARTERSVILLE, GA 30120-5616
(470) 569-1603
Mailing address
28 BLACK JACK MOUNTAIN CIR SW, CARTERSVILLE, GA 30120-5616

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/21/2025
Last updated
05/21/2025
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