Individual
ASHLEY NICOLE VELEZ MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 N MAIN ST, HINESVILLE, GA 31313-2512
(615) 560-6622
Mailing address
75 LOGANBERRY LN NE, LUDOWICI, GA 31316-3470
(912) 980-3223
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
11/13/2024
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