Individual
TERESA ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754
(706) 845-4054
Mailing address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754
(706) 845-4054
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10
GA
Other
Enumeration date
01/11/2014
Last updated
01/11/2014
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