Individual
SAMANTHA WELDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
174 STEWART DR NW, MILLEDGEVILLE, GA 31061
(478) 569-6235
(478) 238-8920
Mailing address
PO BOX 702, MILLEDGEVILLE, GA 31059-0702
(478) 569-6235
(478) 238-8920
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25820
GA
Other
Enumeration date
04/14/2017
Last updated
05/08/2019
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