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Individual

ASIA LURRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
190 HANDLEY RD STE C, TYRONE, GA 30290-2178
(678) 850-7906
(678) 369-9540
Mailing address
190 HANDLEY RD STE C, TYRONE, GA 30290-2178
(678) 850-7906
(678) 369-9540

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT23289342
GA

Other

Enumeration date
08/22/2023
Last updated
08/22/2023
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