Individual
DAJAH STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
690 E HIGHTOWER TRL, SOCIAL CIRCLE, GA 30025-3028
(470) 417-9195
Mailing address
690 E HIGHTOWER TRL, SOCIAL CIRCLE, GA 30025-3028
(470) 417-9195
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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