Individual
JALECIA DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4490 WASHINGTON RD, EVANS, GA 30809-5897
(706) 250-0022
(706) 826-2771
Mailing address
4490 WASHINGTON RD, EVANS, GA 30809-5897
(706) 250-0022
(706) 826-2771
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-297358
GA
Other
Enumeration date
09/25/2023
Last updated
04/15/2024
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