Individual
TIARA BRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6071 HIGHWAY 85 APT 31A, RIVERDALE, GA 30274-1531
(678) 437-7350
Mailing address
6691 CHURCH ST UNIT 960843, RIVERDALE, GA 30296-4033
(678) 437-7350
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
000000
GA
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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