Individual
AMBER R MUMFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 WEATHERSTONE DR STE 530, WOODSTOCK, GA 30188-7006
(770) 591-9552
Mailing address
3205 ELENA WAY, WOODSTOCK, GA 30188-7861
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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