Individual
MS. ANDREA LAKIA JIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 COMMERCE CT, POOLER, GA 31322-9445
(615) 560-6622
Mailing address
213 S AVALON DR, SAVANNAH, GA 31404-2369
(706) 597-6969
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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