Individual
MRS. DONNA ELAINE MOREHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
596 MEADOWS LN, SOCIAL CIRCLE, GA 30025-5031
(470) 981-8277
Mailing address
596 MEADOWS LN, SOCIAL CIRCLE, GA 30025-5031
(470) 981-8277
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-194426
GA
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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