Individual
IRIS WORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 E ACADEMY ST STE 582, LUDOWICI, GA 31316-1424
(678) 818-3087
Mailing address
40 E ACADEMY ST STE 582, LUDOWICI, GA 31316-1424
(678) 818-3087
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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