Individual
SHARELL ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 BEMISS RD STE D, VALDOSTA, GA 31602-4819
(800) 832-9419
Mailing address
2225 BEMISS RD STE D, VALDOSTA, GA 31602-4819
(800) 832-9419
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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