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Individual

ASHLEY LAMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
403 WILLOW CT SE, CONYERS, GA 30094-3867
(470) 233-2235
Mailing address
403 WILLOW CT SE, CONYERS, GA 30094-3867

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/30/2024
Last updated
01/30/2024
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