Individual
DONASJA S DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6371 SEYMOUR PL NW, ACWORTH, GA 30101-8063
(614) 432-5869
Mailing address
6371 SEYMOUR PL NW, ACWORTH, GA 30101-8063
(614) 432-5869
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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