Individual
FELICITY ROSE STALLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N PARK TRL UNIT 123, STOCKBRIDGE, GA 30281-7373
(470) 491-2050
Mailing address
115 N PARK TRL UNIT 123, STOCKBRIDGE, GA 30281-7373
(470) 491-2050
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-257909
GA
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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