Individual
CARLY MCBRYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 SHIVER BLVD, COVINGTON, GA 30016-1908
(470) 667-9927
Mailing address
330 SHIVER BLVD, COVINGTON, GA 30016-1908
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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