Individual
DIANA MARISOL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(877) 418-2186
(866) 500-2186
Mailing address
188 PARKER RD, MCDONOUGH, GA 30252-2746
(678) 326-8175
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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