Individual
CHELSEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 ZITTEROUR DR, RINCON, GA 31326-9269
(912) 678-5869
Mailing address
711 ZITTEROUR DR, RINCON, GA 31326-9269
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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