Individual
CHANDLER P KEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 COBB PLACE BLVD NW STE 230, KENNESAW, GA 30144-3684
(470) 648-3280
Mailing address
591 MOUNTAINBROOKE CIR, STONE MOUNTAIN, GA 30087-2867
(678) 900-3839
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
GA
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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