Individual
COURTNEY JEANNE STANSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, ED.
Contact information
Practice address
204 RESOURCE LN, WINDER, GA 30680-8361
(678) 963-0694
Mailing address
1219 REDHEAD LN, JEFFERSON, GA 30549-5409
(770) 597-0773
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14441601
GA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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