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Individual

JESSICA PRINCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
60 CLEVELAND ST SE, ATLANTA, GA 30316-1318
(704) 221-6680
Mailing address
60 CLEVELAND ST SE, ATLANTA, GA 30316-1318
(704) 221-6680

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
12/28/2018
Last updated
07/27/2022
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