Individual
SHERRIE MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 BIRCH ST, HIRAM, GA 30141-4127
(662) 607-3968
Mailing address
54 BIRCH ST, HIRAM, GA 30141-4127
(662) 607-3968
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
802391813
MS
Other
Enumeration date
07/17/2016
Last updated
07/17/2016
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