Individual
ALISHIA GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(855) 832-6727
Mailing address
2612 VILLA POINT PKWY, MCDONOUGH, GA 30253-9242
(334) 362-3333
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-82455
GA
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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