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Individual

DESTINY ROBERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1717 RICE AVE, DUBLIN, GA 31021-3524
(478) 279-7214
(833) 478-1298
Mailing address
90 E BREWTON ST, MC RAE HELENA, GA 31055-3201
(229) 212-9400

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-250233
GA

Other

Enumeration date
08/01/2024
Last updated
08/01/2024
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