Individual
AALIYAH STOUDEMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
382 RACETRACK RD, MCDONOUGH, GA 30252-1022
(678) 691-2206
Mailing address
382 RACETRACK RD, MCDONOUGH, GA 30252-1022
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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