Individual
BO SKYDON REAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1664 MARKET PLACE BLVD, CUMMING, GA 30041-7927
(770) 680-3799
Mailing address
1664 MARKET PLACE BLVD, CUMMING, GA 30041-7927
(770) 680-3799
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
07/19/2024
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