Individual
GBEMISOLA AGARAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 BROOKSTONE PARK E, ACWORTH, GA 30101-0910
(404) 940-1407
Mailing address
171 BROOKSTONE PARK E, ACWORTH, GA 30101-0910
(404) 940-1407
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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