Individual
CONNOR LIAM MCCAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3316 HIGHWAY 5, DOUGLASVILLE, GA 30135-2308
(470) 870-2962
Mailing address
3316 HIGHWAY 5, DOUGLASVILLE, GA 30135-2308
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1040284
GA
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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