Individual
CARLA RAKESTRW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 115, OXFORD, GA 30054-0115
(404) 368-0529
(404) 368-0529
Mailing address
PO BOX 115, OXFORD, GA 30054-0115
(404) 368-0529
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-337897
GA
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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