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Individual

CHIQUITA RAKELL CASMERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT CERTIFICATION

Contact information

Practice address
122 AGAPE ST, WILLIAMSON, GA 30292-3710
(678) 972-4697
Mailing address
122 AGAPE ST, WILLIAMSON, GA 30292-3710

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
GA

Other

Enumeration date
02/13/2025
Last updated
02/13/2025
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