Individual
MRS. AMITY R CORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 RHEA MCCLANAHAN DR, TUNNEL HILL, GA 30755-7328
(706) 935-9890
Mailing address
11 OAK AVE, TRENTON, GA 30752-2810
(423) 509-5847
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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