Individual
ANDREA DEE MCNUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10545 COLERAIN RD, KINGSLAND, GA 31548
(912) 266-8686
Mailing address
147 W WOODHAVEN DR, KINGSLAND, GA 31548-5813
(231) 920-1048
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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