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Organization

MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION

Active
Parent organization
MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION
Other names
Siskin Center for Developmental Pediatrics
Organization subpart
Yes

Provider details

NPI number
Legal business name
MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION
Authorized official
STEPHANIE COOPER-WILKES (DIRECTOR HEALTHCARE ADMINISTRATION)
(423) 490-7727
Entity
Organization

Contact information

Practice address
55 ATLANTA ST SE STE 399, MARIETTA, GA 30060-1977
(423) 490-7710
(423) 490-7750
Mailing address
1101 CARTER ST, CHATTANOOGA, TN 37402-5017
(423) 490-7710

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
06/27/2019
Last updated
06/27/2019
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