Individual
ARNELL RORIE FOOTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5364 KATHERINE VILLAGE DR, ELLENWOOD, GA 30294-4344
(678) 472-5401
Mailing address
5364 KATHERINE VILLAGE DR, ELLENWOOD, GA 30294-4344
(678) 472-5401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
Primary
RBT-21-180313
GA
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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