Individual
DETRA LASHANN WESTFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(478) 733-3059
Mailing address
120 BROOKHAVEN CIR, WARNER ROBINS, GA 31093-1544
(478) 283-3753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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