Individual
BARBARA SAMANTHA GREEN TOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3136 GOLF RIDGE BLVD, DOUGLASVILLE, GA 30135-1952
(877) 288-4760
Mailing address
3177 E BAGGETT RD, WINSTON, GA 30187-1598
(404) 661-1240
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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