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Individual

CLAIRE BIRCKHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 648-7644
Mailing address
24 PLANTATION DR NE, ATLANTA, GA 30324-2937

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
GA

Other

Enumeration date
05/14/2020
Last updated
05/14/2020
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