Individual
AZURE D HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1519 JOHNSON FERRY RD, MARIETTA, GA 30062-6409
(770) 913-3948
Mailing address
3050 COBB PKWY NW APT 5224, KENNESAW, GA 30152-6562
(347) 405-2458
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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