Individual
CHRISTIEN ANGEL POULAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(877) 418-2978
(866) 500-2186
Mailing address
7681 CAMBRIDGE CT, JONESBORO, GA 30236-2692
(678) 670-5184
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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