Individual
FOLASHADE IDOWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 SILVERTOP DR, GRAYSON, GA 30017-4189
(404) 729-4984
Mailing address
214 SILVERTOP DR, GRAYSON, GA 30017-4189
(404) 729-4984
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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