Individual
MRS. CHRISTINA STUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 OLIVE ST, CEDARTOWN, GA 30125-3838
(770) 841-8631
Mailing address
302 OLIVE ST, CEDARTOWN, GA 30125-3838
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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