Individual
MARY THERESA TIMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
191 CAMELLIA WAY, DALLAS, GA 30132-5525
(678) 878-9941
Mailing address
191 CAMELLIA WAY, DALLAS, GA 30132-5525
(678) 878-9941
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
GA
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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