Individual
MISS HAYDEN GWENDOLYN RAFFETY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1823 ALCOVY SPRINGS LN, LAWRENCEVILLE, GA 30045-7931
(404) 444-4742
Mailing address
1823 ALCOVY SPRINGS LN, LAWRENCEVILLE, GA 30045-7931
(404) 444-4742
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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