Individual
EDWARD WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9347 FOREST KNOLL DR, JONESBORO, GA 30238-5785
(518) 495-6832
Mailing address
9347 FOREST KNOLL DR, JONESBORO, GA 30238-5785
(518) 495-6832
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-217588
GA
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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