Individual
EMILY MINERVA EMILIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1732 VILLAGESIDE CT, LAWRENCEVILLE, GA 30043-4489
(404) 940-9211
Mailing address
1732 VILLAGESIDE CT, LAWRENCEVILLE, GA 30043-4489
(404) 940-9211
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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