Individual
DANA LEE WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 N MAIN ST, HINESVILLE, GA 31313-2512
(615) 560-6622
Mailing address
2 GO BAR LANDING RD, STATESBORO, GA 30461-7120
(912) 655-8442
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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