Individual
SHERITA OWENSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 FLETCHER ST, CEDARTOWN, GA 30125-3249
(404) 309-5061
Mailing address
162 EMERALD POINTE DR, CARROLLTON, GA 30116-9409
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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