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Individual

ALEXA SIMONE MCCOMBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
801 WEST AVE STE 100, CARTERSVILLE, GA 30120-5894
(678) 994-3206
Mailing address
396 BELMONT LN, DALLAS, GA 30132-8510
(678) 994-3206

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
GA
106S00000X
Behavior Technician

Other

Enumeration date
12/02/2024
Last updated
12/02/2024
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